Provider Demographics
NPI:1972682078
Name:RITCHIE, ELIN MCKINNON (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIN
Middle Name:MCKINNON
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RABBIT RUN
Mailing Address - Street 2:
Mailing Address - City:EL PRADO
Mailing Address - State:NM
Mailing Address - Zip Code:87529-5016
Mailing Address - Country:US
Mailing Address - Phone:575-758-7287
Mailing Address - Fax:575-758-3938
Practice Address - Street 1:7 RABBIT RUN
Practice Address - Street 2:
Practice Address - City:EL PRADO
Practice Address - State:NM
Practice Address - Zip Code:87529-5016
Practice Address - Country:US
Practice Address - Phone:505-365-1199
Practice Address - Fax:575-776-8535
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2001-293207QA0401X, 207PE0004X
NM2001293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM92907865Medicaid
NM92907865Medicaid