Dr. Ralph Merrill Wetzel
Pastoral Counselor
2121 Lake Ave 125-F
Fort Wayne
, Indiana 46805-5100
Dr. Ralph Merrill Wetzel
Pastoral Counselor
2121 Lake Ave 125-F
Fort Wayne
, Indiana 46805-5100
(260) 493-3322
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Ralph Merrill Wetzel
- 4310 Ara Dr P.o. Box 286
- Woodburn, IN
- Zip : 46797-9588
- Fax : (260) 493-3322
- Phone : (260) 493-3695
Second Address
- Dr. Ralph Merrill Wetzel
- 2121 Lake Ave 125-F
- Fort Wayne, IN
- Zip : 46805-5100
- Fax : (260) 460-1402
- Phone : (260) 426-5431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1063525616 |
|---|---|
| Provider Name | Dr. Ralph Merrill Wetzel |
| First Address | Woodburn, IN 46797-9588 |
| Second Address | Fort Wayne, IN 46805-5100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27105178 | TPIN (01) | IN |
| 8934521762 | DRIVER'S LICENSE (01) | IN |
| BRANDY432 | MPIN (01) | IN |
| P0500190 | SBA (01) | IN |
| XZMXZ3084733 | BLUECROSS BLUE SHIELD (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.