DR. RALPH WILLIAM TACK M.D. MPH NPI 1578620621

NPI Information

NPI: 1578620621
Provider Name: DR. RALPH WILLIAM TACK, M.D., MPH
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
715 S TAFT AVE
FREMONT, OH
ZIP 43420
Phone: (419) 333-2738
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DR. Ralph William Tack, M.D., MPH is a preventive medicine/occupational environmental medicine preventive medicine in Fremont, OH. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DR. Ralph William Tack, M.D., MPH NPI is 1578620621. 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:

715 S TAFT AVE
FREMONT, OH
ZIP 43420-200
Phone: (419) 333-2738
Fax: (419) 333-6416

The enumeration date for this NPI number is 1/1/2007 and was last updated on 3/1/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35048041	OHIO	No
2	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	35048041	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35048041	OTHER	OHIO	MEDICAL LICENSE
2	L60246	MEDICARE ID-TYPE UNSPECIFIED
3	C51307	MEDICARE UPIN

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

NPI Synchronization or Removal

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