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DR. RALPH MERRILL WETZEL M.DIV S.T.M D.MIN. NPI 1063525616


NPI Information

NPI: 1063525616
Provider Name: DR. RALPH MERRILL WETZEL, M.DIV, S.T.M, D.MIN.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2121 LAKE AVE
125-F
FORT WAYNE, IN
ZIP 46805
Phone: (260) 426-5431
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DR. Ralph Merrill Wetzel, M.DIV, S.T.M, D.MIN. is a specialist in Fort Wayne, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Ralph Merrill Wetzel, M.DIV, S.T.M, D.MIN. NPI is 1063525616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 LAKE AVE
125-F
FORT WAYNE, IN
ZIP 46805-100
Phone: (260) 426-5431
Fax: (260) 460-1402

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes
2101YP1600XCounselorPastoralX
3171W00000XContractorX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127105178OTHERINDIANATPIN
2P0500190OTHERINDIANASBA
3315467432B1MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE A & B
4XZMXZ3084733OTHERINDIANABLUECROSS BLUE SHIELD
5BRANDY432OTHERINDIANAMPIN
68934521762OTHERINDIANADRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.