MEDICARE: DAVID M RITTINGER DC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1073813267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M RITTINGER DC INC

Provider Business Mailing Address
First Line	:	466 SANTA CLARA AVE
Second Line	:	SUITE 220
City	:	OAKLAND
State	:	CA
Zip	:	94610-1924
Country	:	US
Telephone Number	:	510-663-0573
Fax Number	:	510-465-6636

Provider Business Practice Location Address
First Line	:	466 SANTA CLARA AVE
Second Line	:	SUITE 220
City	:	OAKLAND
State	:	CA
Zip	:	94610-1924
Country	:	US
Telephone Number	:	510-663-0573
Fax Number	:	510-465-6636

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID M RITTINGER
Credential	:	DC
Telephone Number	:	510-663-0573

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	10/22/2010

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