Robert J. Ritzema in Fayetteville - Health Service

Robert J. Ritzema - NPI 1770612657

Robert J. Ritzema is a Health Service in Fayetteville, North Carolina. Robert J. Ritzema practices all healthcare services and medical treatments related to Health Service. The NPI Number for Robert J. Ritzema is 1770612657. The last update date is 2018-01-30.

Robert J. Ritzema's current location address is 114 Highland Ave, Fayetteville, North Carolina. You can contact this provider via phone number 9104840176 and fax number 9104845781. The mailing address for Robert J. Ritzema is 114 Highland Ave, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert J. Ritzema
Address 114 Highland Ave, Fayetteville, North Carolina
Phone Number 9104840176
Fax Number 9104845781
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1770612657
Provider Enumeration Date 2007-03-05
Last Updated Date 2018-01-30

Provider Mailing Address Detail

Address 114 Highland Ave
City Fayetteville
State North Carolina (NC)
Post Code 283055306
Phone Number 9104840176
Fax Number 9104845781

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 791
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4488 NC BCBS
C7486 NC MEDCOST
6000313 NC --

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FAQs about Robert J. Ritzema

What is the Robert J. Ritzema's unique identification number?

The Robert J. Ritzema has been assigned the NPI (National Provider Identifier) Number 1770612657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Robert J. Ritzema's facilities are situated?

The facilities of Robert J. Ritzema are physically located at the following address: 114 Highland Ave, Fayetteville, NC, 283055306.

What is Robert J. Ritzema's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Robert J. Ritzema is Health Service, and the corresponding taxonomy classification code for this specialized field is 103Th0100X.

On what date did Robert J. Ritzema receive its 1770612657 assignment from the Centers for Medicare & Medicaid Services?

The Robert J. Ritzema was assigned its 1770612657 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Robert J. Ritzema most recently updated or revised?

The details related to Robert J. Ritzema, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-30.

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