Individual
RALPH WILLIAM RICHTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 FIR STREET, EAST CHICAGO, IN 46312
(219) 392-1215
(219) 392-0504
Mailing address
4320 FIR STREET, EAST CHICAGO, IN 46312
(219) 392-1215
(219) 392-0504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01040273A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089192
BLUE CROSS BLUE SHIELD
IN
05
—
100147320
—
IN
01
—
90000287
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/14/2006
Last updated
08/04/2020
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