| Ralph B Ford Iii Pc | |
|
909 Gray Rd Traverse City MI 49686-9219 | |
| (231) 946-6235 | |
| (231) 946-1859 |
| Full Name | Ralph B Ford Iii Pc |
|---|---|
| Speciality | Psychologist |
| Location | 909 Gray Rd, Traverse City, Michigan |
| Authorized Official Name and Position | Ralph Ford (PRESIDENT) |
| Authorized Official Contact | 2319466235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph B Ford Iii Pc 909 Gray Rd Traverse City MI 49686-9219 Ph: (231) 946-6235 | Ralph B Ford Iii Pc 909 Gray Rd Traverse City MI 49686-9219 Ph: (231) 946-6235 |
| NPI Number | 1891967238 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 08/17/2008 |
| Medicare PECOS PAC ID | 8123193083 |
|---|---|
| Medicare Enrollment ID | O20080812000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891967238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ralph B Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821150277 PECOS PAC ID: 7315012275 Enrollment ID: I20080812000815 |
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