Provider Demographics
NPI:1114102712
Name:RITCHIE, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CITRUS CIR
Mailing Address - Street 2:STE 106
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2663
Mailing Address - Country:US
Mailing Address - Phone:925-518-2992
Mailing Address - Fax:
Practice Address - Street 1:3000 CITRUS CIR
Practice Address - Street 2:STE 106
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2663
Practice Address - Country:US
Practice Address - Phone:925-518-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5986111N00000X
PA009932111N00000X
CADC30383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor