Campanale, Ralph P
Campanale, Ralph P is an individual health care provider with primary practice located at 180 W First Street Suite 301 , Ketchum ID 83340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Campanale, Ralph P can be contacted via phone (208) 726-3707.Contact Information
Primary practice address
180 W First Street Suite 301
Ketchum ID 83340
Phone: (208) 726-3707
Fax: (208) 726-4817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M4961 | Idaho |
Profile Details
| NPI number | 1972566727 |
|---|---|
| LBN Legal business name | Campanale, Ralph P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1972566727 | NPPES |
| Idaho | Other | 020024438 | RAILROAD MEDICARE |
| Idaho | Other | D3513 | RAILROAD MEDICARE |
| Idaho | Other | 000010000420 | RAILROAD MEDICARE |
| Idaho | MEDICAID | 002699100 | RAILROAD MEDICARE |
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