Provider Demographics
NPI:1558443234
Name:DUMOUCHEL, RALPH JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:JOSEPH
Last Name:DUMOUCHEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5167 CLAYTON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521
Mailing Address - Country:US
Mailing Address - Phone:925-798-6300
Mailing Address - Fax:925-798-6301
Practice Address - Street 1:5167 CLAYTON RD
Practice Address - Street 2:SUITE C
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521
Practice Address - Country:US
Practice Address - Phone:925-798-6300
Practice Address - Fax:925-798-6301
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12658111N00000X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC12658Medicare UPIN
CADC12658Medicare ID - Type Unspecified