Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC12658 | CA |
N | 111NX0100X | Occupational Health | DC12658 | CA |
NPI | 1558443234 |
---|---|
Provider Name | Dr. Ralph Joseph Dumouchel |
First Address | Concord, CA 94521 |
Second Address | Concord, CA 94521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC12658 | (02) |