Ralph, Walter M
Ralph, Walter M is an sole proprietor health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ralph, Walter M can be contacted via phone (718) 901-6901.Contact Information
Primary practice address
1650 Grand Concourse
Bronx NY 10457-7606
Phone: (718) 901-6901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 223414 | New York |
Profile Details
| NPI number | 1013983097 |
|---|---|
| LBN Legal business name | Ralph, Walter M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 9th, 2015 - about 11 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 | 1013983097 | NPPES |
| New York | Other | P2686068 | OXFORD |
| New York | MEDICAID | 02348552 | OXFORD |
| New York | Other | 6M8142 | OXFORD |
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