Healthcare Provider Details

I. General information

NPI: 1376479204
Provider Name (Legal Business Name): WILLIAM RAMEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4790 S DIXIE DR
MORAINE OH
45439-1464
US

IV. Provider business mailing address

PO BOX 2204
DAYTON OH
45401-2204
US

V. Phone/Fax

Practice location:
  • Phone: 313-236-4109
  • Fax:
Mailing address:
  • Phone: 313-236-4109
  • Fax: 614-987-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: