Provider Demographics
NPI:1194945774
Name:RITCHIE, MONICA
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PARTRIDGE COURT
Mailing Address - Street 2:APT. D
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056
Mailing Address - Country:US
Mailing Address - Phone:740-258-7549
Mailing Address - Fax:
Practice Address - Street 1:169 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1121
Practice Address - Country:US
Practice Address - Phone:740-967-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2397320Medicaid