Healthcare Provider Details

I. General information

NPI: 1699139725
Provider Name (Legal Business Name): RITCHIE CARDIOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4031 S WEBSTER ST
KOKOMO IN
46902-6911
US

IV. Provider business mailing address

PO BOX 5077
KOKOMO IN
46904-5077
US

V. Phone/Fax

Practice location:
  • Phone: 765-450-5568
  • Fax: 765-450-5569
Mailing address:
  • Phone: 765-450-5568
  • Fax: 765-450-5569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL E RITCHIE
Title or Position: OWNER
Credential: MD
Phone: 765-450-5568