Provider Demographics
NPI:1194761148
Name:RITCHIE, RONALD GREGG (DC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:GREGG
Last Name:RITCHIE
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 1:4280 LAVON DR
Mailing Address - Street 2:SUITE 264
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2971
Mailing Address - Country:US
Mailing Address - Phone:972-496-9800
Mailing Address - Fax:972-496-9808
Practice Address - Street 1:4280 LAVON DR
Practice Address - Street 2:SUITE 264
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2971
Practice Address - Country:US
Practice Address - Phone:972-496-9800
Practice Address - Fax:972-496-9808
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001335101Medicaid
TXA5142Medicare PIN
TX001335101Medicaid