Fillmore, Ralph B

Fillmore, Ralph B is an individual health care provider with primary practice located at 1108 Ross Clark Circle , Dothan AL 36301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fillmore, Ralph B can be contacted via phone (334) 793-5105.

Contact Information

Primary practice address
1108 Ross Clark Circle Dothan AL 36301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00014897 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 00014897 Alabama

Profile Details

NPI number 1487633368
LBN Legal business name Fillmore, Ralph B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 22nd, 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 1487633368 NPPES
Georgia MEDICAID 00416336A
Georgia Other 51081478

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