Provider Demographics
NPI:1164473393
Name:RALPH T. DUNNIGAN P.C.
Entity Type:Organization
Organization Name:RALPH T. DUNNIGAN P.C.
Other - Org Name:THE CENTER FOR NEUROLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:DUNNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:701-530-3200
Mailing Address - Street 1:425 E AVENUE C
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3942
Mailing Address - Country:US
Mailing Address - Phone:701-530-3200
Mailing Address - Fax:701-530-3205
Practice Address - Street 1:425 E AVENUE C
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3942
Practice Address - Country:US
Practice Address - Phone:701-530-3200
Practice Address - Fax:701-530-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND66812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND11763Medicare UPIN