Dr Ralph S Datema, D MIN is a
Marriage & Family Therapist based in Burlington, Colorado. Dr Ralph S Datema is licensed to practice in Colorado (license number 105) and his current practice location is
1564 Senter Ave, Burlington, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 974-0947.
NPI number for Dr Ralph S Datema is 1073729828 and his current mailing address is 6355 Ward Rd Unit 212, Arvada, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073729828.
Healthcare Provider's Profile
Full Name | Dr Ralph S Datema |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1564 Senter Ave, Burlington, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073729828
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 08/15/2011
Medical Identifiers
Medical identifiers for Dr Ralph S Datema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073729828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | (Colorado) | Secondary |
106H00000X | Marriage & Family Therapist | 105 (Colorado) | Primary |
106H00000X | Marriage & Family Therapist | 1441 76 (Nebraska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ralph S Datema is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ralph S Datema, D MIN 6355 Ward Rd Unit 212, Arvada, CO 80004-3822 Ph: (303) 974-0947 | Dr Ralph S Datema, D MIN 1564 Senter Ave, Burlington, CO 80807-1645 Ph: (303) 974-0947 |
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