MEDICARE: DR. JACOB VIRGIL RITENOUR PH.D.

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	103T00000X	Psychologist	6301002521	MI

General Provider Information

NPI Number	:	1952455586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB VIRGIL RITENOUR PH.D.

Provider Business Mailing Address
First Line	:	1700 WOODBRIDGE ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-4120
Country	:	US
Telephone Number	:	517-782-7554
Fax Number	:	517-782-2335

Provider Business Practice Location Address
First Line	:	1700 WOODBRIDGE ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-4120
Country	:	US
Telephone Number	:	517-782-7554
Fax Number	:	517-782-2335

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1649264755 — EDWIN ROMMEL URBI MD
Practice Location Address:

4120 JACKSON STREET EXT
ALEXANDRIA, LA
71303-2752

Practice Phone: 318-473-0035
Practice Fax: 318-443-0220

1346238029 — DR. NABIL MORSHED GAD MD
Practice Location Address:

4120 JACKSON STREET EXT
ALEXANDRIA, LA
71303-2752

Practice Phone: 318-473-0035
Practice Fax: 318-443-0220

1174503122 — BROWNS MEDICAL EQUIPMENT LLC
Practice Location Address:

1015 W MICHIGAN AVE
JACKSON, MI
49202-4120

Practice Phone: 517-789-7302
Practice Fax: 517-784-4364

1639223852 — A.R.E. INC., OF JACKSON
Practice Location Address:

1009 W MICHIGAN AVE
JACKSON, MI
49202-4120

Practice Phone: 517-788-9166
Practice Fax:

1508073834 — MICHAEL ENRIGHT PHD, APRN
Practice Location Address:

557 EAST BROADWAY STREET , MEDICAL ARTS BUILDING
JACKSON, WY
83001-4120

Practice Phone: 307-733-7771
Practice Fax: 307-733-8276

1104021922 — ALL-CARE MEDICAL SUPPLY, LLC
Practice Location Address:

4120 JACKSON STREET EXT
ALEXANDRIA, LA
71303-2752

Practice Phone: 318-442-2200
Practice Fax: 318-442-2208

Directions to “ DR. JACOB VIRGIL RITENOUR PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.