Provider Demographics
NPI:1699987990
Name:RITCHIE, JOHN TODD (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TODD
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 1:243 COACHLIGHT TER
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3012
Mailing Address - Country:US
Mailing Address - Phone:215-914-2225
Mailing Address - Fax:215-918-2225
Practice Address - Street 1:243 COACHLIGHT TER
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3012
Practice Address - Country:US
Practice Address - Phone:215-914-2225
Practice Address - Fax:215-918-2225
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA005727-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA795851Medicare ID - Type Unspecified
PAU60920Medicare UPIN