Ralph, Gary K
Ralph, Gary K is an sole proprietor health care provider with primary practice located at 3075 Orchard Vista Dr Se , Grand Rapids MI 49546-7069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ralph, Gary K can be contacted via phone (616) 301-8000.Contact Information
Primary practice address
3075 Orchard Vista Dr Se
Grand Rapids MI 49546-7069
Phone: (616) 301-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101010873 | Michigan |
Profile Details
| NPI number | 1689640237 |
|---|---|
| LBN Legal business name | Ralph, Gary K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 19th, 2022 - about 2 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 | 1689640237 | NPPES |
| Michigan | MEDICAID | 3055218 |
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