Wall, Ralph Lane

Wall, Ralph Lane is an individual health care provider with primary practice located at 520 Allen Street Montgomery Memorial Hospital, Troy NC 27371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wall, Ralph Lane can be contacted via phone (910) 571-5360.

Contact Information

Primary practice address
520 Allen Street Montgomery Memorial Hospital Troy NC 27371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27332 North Carolina

Profile Details

NPI number 1174564611
LBN Legal business name Wall, Ralph Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 11th, 2009 - 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 1174564611 NPPES
North Carolina MEDICAID 8985405

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