Bovard, Ralph S
Bovard, Ralph S is an individual health care provider with primary practice located at 205 S Wabasha St Mail Stop 31300A Healthpartners St. Paul Clinic, St. Paul MN 55107-1805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Bovard, Ralph S can be contacted via phone (651) 293-8100.Contact Information
Primary practice address
205 S Wabasha St Mail Stop 31300A Healthpartners St. Paul Clinic
St. Paul MN 55107-1805
Phone: (651) 293-8100
Fax: (651) 293-8106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 29313 | Minnesota |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 29313 | Minnesota |
Profile Details
NPI number | 1194785279 |
---|---|
LBN Legal business name | Bovard, Ralph S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jun 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194785279 | NPPES |
Minnesota | MEDICAID | 019275900 |
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