Dr Ralph William Tack, MD, MPH in Fremont, OH - Preventive Medicine

Dr Ralph William Tack, MD, MPH is a Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Fremont, Ohio. Dr Ralph William Tack is licensed to practice in Ohio (license number 35048041) and his current practice location is 715 S Taft Ave, Fremont, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 333-2738.

NPI number for Dr Ralph William Tack is 1578620621 and his current mailing address is 715 S Taft Ave, Fremont, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578620621.

Contact Information

	Dr Ralph William Tack, MD, MPH
	715 S Taft Ave, Fremont, OH 43420-3200
	(419) 333-2738
	(419) 333-6416

Physician's Profile

Full Name	Dr Ralph William Tack
Gender	Male
Speciality	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location	715 S Taft Ave, Fremont, Ohio
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1578620621
Provider Enumeration Date: 01/01/2007
Last Update Date: 03/01/2010

Medical Identifiers

Medical identifiers for Dr Ralph William Tack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578620621	NPI	-	NPPES
35048041	Other	OH	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0500X	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine	35048041 (Ohio)	Primary
207Q00000X	Family Medicine	35048041 (Ohio)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ralph William Tack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ralph William Tack, MD, MPH 715 S Taft Ave, Fremont, OH 43420-3200 Ph: (419) 333-2738	Dr Ralph William Tack, MD, MPH 715 S Taft Ave, Fremont, OH 43420-3200 Ph: (419) 333-2738

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Dr Ralph William Tack, MD, MPH - Preventive Medicine in Fremont, OH