Provider Demographics
NPI:1467328831
Name:RITTER, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:RITTER
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 1:11638 STAUNTON TPKE APT 106
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:WV
Mailing Address - Zip Code:26180-1305
Mailing Address - Country:US
Mailing Address - Phone:304-490-5106
Mailing Address - Fax:
Practice Address - Street 1:11638 STAUNTON TPKE APT 106
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:WV
Practice Address - Zip Code:26180-1305
Practice Address - Country:US
Practice Address - Phone:304-490-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide