Provider Demographics
NPI:1184430241
Name:RITTMAIER, MICHAEL W
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:RITTMAIER
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 1:9390 JUSTUS AVE SW
Mailing Address - Street 2:
Mailing Address - City:BEACH CITY
Mailing Address - State:OH
Mailing Address - Zip Code:44608-9798
Mailing Address - Country:US
Mailing Address - Phone:330-312-8475
Mailing Address - Fax:
Practice Address - Street 1:9390 JUSTUS AVE SW
Practice Address - Street 2:
Practice Address - City:BEACH CITY
Practice Address - State:OH
Practice Address - Zip Code:44608-9798
Practice Address - Country:US
Practice Address - Phone:330-312-8475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care