Provider Demographics
NPI:1861094633
Name:RITTER, ANNA LOUISE
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LOUISE
Last Name:RITTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 LOCUST RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9640
Mailing Address - Country:US
Mailing Address - Phone:937-403-2129
Mailing Address - Fax:
Practice Address - Street 1:1060 LOCUST RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9640
Practice Address - Country:US
Practice Address - Phone:937-403-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3601258Medicaid