Ritter, Mary Lou

Ritter, Mary Lou is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Dept, San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ritter, Mary Lou can be contacted via phone (408) 885-6460.

Contact Information

Primary practice address
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604
Phone: (408) 885-6460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X RN12022 California

Profile Details

NPI number 1316042427
LBN Legal business name Ritter, Mary Lou
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316042427 NPPES
California MEDICAID 0PA12022

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