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Contact Information

RALPH F CARBONE JR, DO
212 W EDISON RD STE F
MISHAWAKA, IN46545-8301
 Phone: 574-257-0621
 Fax: 574-257-0641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for RALPH F CARBONE JR · (Male)

NPI Number 1447212006
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02001120
  • IN License # 02001120A
  • IN Medicaid 200540580
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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