1518132539 NPI number — BOBBI J. RAMP, MD

Table of content: (NPI 1518132539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518132539 NPI number — BOBBI J. RAMP, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BOBBI J. RAMP, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518132539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1121 VILLA LINDE CT
Provider Second Line Business Mailing Address:
STE 39
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48532-3410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-733-5050
Provider Business Mailing Address Fax Number:
810-733-1534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1121 VILLA LINDE CT
Provider Second Line Business Practice Location Address:
STE 39
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48532-3410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-733-5050
Provider Business Practice Location Address Fax Number:
810-733-1534
Provider Enumeration Date:
04/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
OSBORN
Authorized Official First Name:
DEBI
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
810-733-5050

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  4301051291 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020021442 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 204011 . This is a "MCLAREN HEALTH ADVANTAGE/HEALTH PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0202545912 . This is a "FEP BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 19571 . This is a "COMMUNITY CHOICE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 102849120 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: C5464 . This is a "MCARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 020035076 . This is a "TRAVELERS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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