Ingram, Ralph N

Ingram, Ralph N is an individual health care provider with primary practice located at 5111 Rogers Ave Ste 40M, Fort Smith AR 72903-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ingram, Ralph N can be contacted via phone (479) 709-7440.

Contact Information

Primary practice address
5111 Rogers Ave Ste 40M Fort Smith AR 72903-2047
Phone: (479) 709-7440
Fax: (479) 709-7441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C4289 Arkansas

Profile Details

NPI number 1366430126
LBN Legal business name Ingram, Ralph N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 15th, 2008 - about 16 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 1366430126 NPPES
Arkansas MEDICAID 105589001
Arkansas MEDICAID 100073480A

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