Individual
MR. BRAD RAYMOND STANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
10848 ROSE AVE STE 3, NEW HAVEN, IN 46774-8912
(260) 493-7742
Mailing address
10848 ROSE AVE STE 3, NEW HAVEN, IN 46774-8912
(260) 493-7742
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001100A
IN
237700000X
Hearing Instrument Specialist
2156
OH
332S00000X
Hearing Aid Equipment
17001100A
IN
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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