Provider Demographics
NPI:1578526760
Name:HASSPIELER, RALPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:A
Last Name:HASSPIELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-5603
Mailing Address - Country:US
Mailing Address - Phone:540-980-0550
Mailing Address - Fax:540-980-9141
Practice Address - Street 1:101 1ST ST NW
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-5603
Practice Address - Country:US
Practice Address - Phone:540-980-0550
Practice Address - Fax:540-980-9141
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010157731207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5632374Medicaid
VA5632374Medicaid
G77391Medicare UPIN