Provider Demographics
NPI:1144842725
Name:RITSCH, HANNAH (RD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:RITSCH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 BARRY AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7321
Mailing Address - Country:US
Mailing Address - Phone:715-559-9059
Mailing Address - Fax:
Practice Address - Street 1:1320 BARRY AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-7321
Practice Address - Country:US
Practice Address - Phone:715-559-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-17
Last Update Date:2020-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86153439OtherCDR