Provider Demographics
NPI:1801192240
Name:RITZ, JONATHAN (ND)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:RITZ
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 SAM NEWELL RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4519
Mailing Address - Country:US
Mailing Address - Phone:704-708-4404
Mailing Address - Fax:708-708-4417
Practice Address - Street 1:1126 SAM NEWELL RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4519
Practice Address - Country:US
Practice Address - Phone:704-708-4404
Practice Address - Fax:708-708-4417
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0074428175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath