Mack, Ralph J
Mack, Ralph J is an individual health care provider with primary practice located at 1201 S Miller St Ste A , Wenatchee WA 98801-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mack, Ralph J can be contacted via phone (509) 663-8711.Contact Information
Primary practice address
1201 S Miller St Ste A
Wenatchee WA 98801-3201
Phone: (509) 663-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00023729 | Washington |
Profile Details
| NPI number | 1124044128 |
|---|---|
| LBN Legal business name | Mack, Ralph J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 14th, 2015 - about 9 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 | 1124044128 | NPPES |
| Washington | Other | P01256589 | RR MEDICARE WVH |
| Washington | MEDICAID | 1124044128 | RR MEDICARE WVH |
| Washington | Other | 315795 | RR MEDICARE WVH |
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