1750884870 NPI number — MRS. AMELIA RITCHIE AITCHESON RDN

Table of content: MRS. AMELIA RITCHIE AITCHESON RDN (NPI 1750884870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750884870 NPI number — MRS. AMELIA RITCHIE AITCHESON RDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AITCHESON
Provider First Name:
AMELIA
Provider Middle Name:
RITCHIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RITCHIE
Provider Other First Name:
AMELIA
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1750884870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 KEN VIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERONA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24482-2642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-236-2261
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 KEN-VIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VERONA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-236-2261
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  86054243 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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