Captain, Ralph Michael

Captain, Ralph Michael is an individual health care provider with primary practice located at 1 Elizabeth Pl , Dayton OH 45417-3445. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Captain, Ralph Michael can be contacted via phone (937) 520-4800.

Contact Information

Primary practice address
1 Elizabeth Pl Dayton OH 45417-3445
Phone: (937) 520-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.186820 Ohio
Other Service Providers / Peer Specialist 175T00000X APS.003572 Ohio

Profile Details

NPI number 1689447930
LBN Legal business name Captain, Ralph Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2023
Last updated Jun 17th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689447930 NPPES
Ohio Other APS.003572 STATE OF OHIO MENTAL HEALTH AND ADDICTION SERVICES

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