Badanowski, Ralph

Badanowski, Ralph is an individual health care provider with primary practice located at 1 Shircliff Way , Jacksonville FL 32204-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Badanowski, Ralph can be contacted via phone (904) 308-7300.

Contact Information

Primary practice address
1 Shircliff Way Jacksonville FL 32204-4748
Phone: (904) 308-7300
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0037078 Florida

Profile Details

NPI number 1205894508
LBN Legal business name Badanowski, Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 24th, 2018 - about 7 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 1205894508 NPPES
Florida Other 010016726 RRMCR
Florida MEDICAID 069690100 RRMCR

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