Ralph Harmon Llc | |
112 W Washington St Ste F Marquette MI 49855-4367 | |
(906) 250-2382 | |
(906) 627-6337 |
Full Name | Ralph Harmon Llc |
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Speciality | Social Worker |
Location | 112 W Washington St Ste F, Marquette, Michigan |
Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ralph Harmon Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Ralph Harmon Llc 112 W Washington St Ste F Marquette MI 49855-4367 Ph: (906) 250-2382 |
NPI Number | 1245800184 |
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Provider Enumeration Date | 07/01/2021 |
Last Update Date | 07/15/2021 |
Certification Date | 07/15/2021 |
Medicare PECOS PAC ID | 4789086398 |
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Medicare Enrollment ID | O20210706000512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245800184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Ralph L Harmon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164716361 PECOS PAC ID: 6002088283 Enrollment ID: I20111012000282 |
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