Provider Demographics
NPI:1306985460
Name:RITTER, MELISSA REAM (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:REAM
Last Name:RITTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 QUAIL ST STE 114
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2703
Mailing Address - Country:US
Mailing Address - Phone:949-250-4059
Mailing Address - Fax:949-644-5271
Practice Address - Street 1:1100 QUAIL ST STE 114
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2703
Practice Address - Country:US
Practice Address - Phone:949-250-4059
Practice Address - Fax:949-644-5271
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor