Provider Demographics
NPI:1497944698
Name:RITTER, LEAH DANIELLE (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:DANIELLE
Last Name:RITTER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:DANIELLE
Other - Last Name:GERNHEUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:950 W WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2603
Mailing Address - Country:US
Mailing Address - Phone:419-354-8900
Mailing Address - Fax:
Practice Address - Street 1:950 W WOOSTER ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2603
Practice Address - Country:US
Practice Address - Phone:419-354-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5899133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
934488OtherDIETETIC REGISTRATION
OH5899OtherDIETITIAN LICENSE