MEDICARE: SANTA PAULA CHIROPRACTIC CENTER, 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	:	1932425964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA PAULA CHIROPRACTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	1812 SANTA PAULA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2406
Country	:	US
Telephone Number	:	702-731-5028
Fax Number	:	702-731-3360

Provider Business Practice Location Address
First Line	:	1812 SANTA PAULA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2406
Country	:	US
Telephone Number	:	702-731-5028
Fax Number	:	702-731-3360

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE ALLEN RITTER
Credential	:	D.C.
Telephone Number	:	702-731-5028

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/15/2010

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