Fiedler, Ralph A

Fiedler, Ralph A is an individual health care provider with primary practice located at 9667 Hwy 29 Ste 101, Lower Lake CA 95457. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fiedler, Ralph A can be contacted via phone (707) 994-6940.

Contact Information

Primary practice address
9667 Hwy 29 Ste 101 Lower Lake CA 95457
Fax: (707) 994-6941
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC013306 California

Profile Details

NPI number 1760548572
LBN Legal business name Fiedler, Ralph A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1760548572 NPPES
California MEDICAID GDC000500

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