| Ralph Harmon Llc | |
|
112 W Washington St Ste F Marquette MI 49855-4367 | |
| (906) 250-2382 | |
| (906) 627-6337 |
| Full Name | Ralph Harmon Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 4789086398 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164716361 PECOS PAC ID: 6002088283 Enrollment ID: I20111012000282 |
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