MEDICARE: RONALD GREGG RITCHIE DC

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	3061	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194761148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD GREGG RITCHIE DC

Provider Business Mailing Address
First Line	:	4280 LAVON DR
Second Line	:	SUITE 264
City	:	GARLAND
State	:	TX
Zip	:	75040-2971
Country	:	US
Telephone Number	:	972-496-9800
Fax Number	:	972-496-9808

Provider Business Practice Location Address
First Line	:	4280 LAVON DR
Second Line	:	SUITE 264
City	:	GARLAND
State	:	TX
Zip	:	75040-2971
Country	:	US
Telephone Number	:	972-496-9800
Fax Number	:	972-496-9808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	11/02/2009

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