Northam, Ralph S

Northam, Ralph S is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Northam, Ralph S can be contacted via phone (757) 668-9920.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-9920
Fax: (757) 668-9930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 0101047764 Virginia

Profile Details

NPI number 1780630145
LBN Legal business name Northam, Ralph S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 17th, 2009 - about 15 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 1780630145 NPPES
Maryland MEDICAID 215451000
Maryland MEDICAID 0207966000
Maryland MEDICAID 0001167001
Maryland MEDICAID 0016948910001
Maryland MEDICAID 006104797
Maryland MEDICAID 890573T

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