Laraiso, Ralph G
Laraiso, Ralph G is an individual health care provider with primary practice located at 1100 Goethals Drive Suite B, Richland WA 99352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Laraiso, Ralph G can be contacted via phone (509) 942-3080.Contact Information
Primary practice address
1100 Goethals Drive Suite B
Richland WA 99352
Phone: (509) 942-3080
Fax: (509) 942-3085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 235585 | New York |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2011032951 | Missouri |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 34.11223 | Ohio |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OP60722041 | Washington |
Profile Details
| NPI number | 1699770842 |
|---|---|
| LBN Legal business name | Laraiso, Ralph G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jun 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699770842 | NPPES |
| New York | MEDICAID | 02697423 |
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