Healthcare Provider Details

I. General information

NPI: 1538386842
Provider Name (Legal Business Name): MR. JOEL RITCHIE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 SHERWOOD DOWNS RD S
NEWARK OH
43055-3126
US

IV. Provider business mailing address

140 PARTRIDGE CT APT. D
HEATH OH
43056-1364
US

V. Phone/Fax

Practice location:
  • Phone: 740-366-7772
  • Fax:
Mailing address:
  • Phone: 740-258-0748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: