Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 020667 | LA |
NPI | 1174577902 |
---|---|
Provider Name | Christopher L. Ritter |
First Address | Franklin, LA 70538-6121 |
Second Address | Many, LA 71449-3718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 27/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1907987 | (05) | LA |
E80879 | (02) | LA |