Wetzel, Ralph Merrill

Wetzel, Ralph Merrill is an sole proprietor health care provider with primary practice located at 2121 Lake Ave 125-F, Fort Wayne IN 46805-5100. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Pastoral. Other Service Providers / Contractor is his primary health care specialty. Wetzel, Ralph Merrill can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave 125-F Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1063525616
LBN Legal business name Wetzel, Ralph Merrill
Credentials M.DIV, S.T.M, D.MIN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1063525616 NPPES
Indiana Other 8934521762 DRIVER'S LICENSE
Indiana Other 27105178 DRIVER'S LICENSE
Indiana Other BRANDY432 DRIVER'S LICENSE
Indiana Other P0500190 DRIVER'S LICENSE
Indiana Other XZMXZ3084733 DRIVER'S LICENSE

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