Provider Demographics
NPI:1316058308
Name:RITCHIE, ROBERT W (D C)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32350 LA HIGHWAY 16 BLDG C
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1463
Mailing Address - Country:US
Mailing Address - Phone:225-664-1456
Mailing Address - Fax:866-704-8540
Practice Address - Street 1:32350 LA HIGHWAY 16 BLDG C
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1463
Practice Address - Country:US
Practice Address - Phone:225-664-1456
Practice Address - Fax:866-704-8540
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAEIN 72-0942998OtherTAX ID #
LA59309Medicare ID - Type UnspecifiedMEDICARE NUMBER
LAEIN 72-0942998OtherTAX ID #