Provider Demographics
NPI:1699221473
Name:RITCHIE, ROBERT CHARLES
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9990 HESS MILL RD
Mailing Address - Street 2:APT C
Mailing Address - City:BOLIVAR
Mailing Address - State:OH
Mailing Address - Zip Code:44612
Mailing Address - Country:US
Mailing Address - Phone:330-639-5704
Mailing Address - Fax:
Practice Address - Street 1:9990 HESS MILL RD
Practice Address - Street 2:APT C
Practice Address - City:BOLIVAR
Practice Address - State:OH
Practice Address - Zip Code:44612
Practice Address - Country:US
Practice Address - Phone:330-639-5704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide