Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301051496 | MI |
Y | 207VX0000X | Obstetrician | MD444258 | PA |
NPI | 1437211307 |
---|---|
Provider Name | Gary Michael Ritten |
First Address | Erie, PA 16505-2571 |
Second Address | Corry, PA 16407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 09/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1030642100004 | (05) | PA |
160440052 | BLUE CROSS BLUE SHIELD (01) | MI |
3025372 | (05) | OH |
3225550 | (05) | MI |
383265735 | TAX ID (01) | MI |
E92636 | (02) | MI |