Charles Ritter
Individual provider Active NPI Licensed Practical Nurse · Carleton, MI
NPI 1972056208 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1972056208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703063416 (MI)
- Practice address
- 11705 Telegraph Rd
Carleton, MI 48117-9089 - Phone
- (586) 306-1718
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703063416 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703063416 | MI | Yes |
Addresses
Primary practice location
11705 Telegraph Rd
Carleton, MI 48117-9089
Mailing address
11705 Telegraph Rd
Carleton, MI 48117-9089
Phone (586) 306-1718
Other providers in Carleton, MI
- Crystal Nicole Morse
- Cornelio L. Naguit
- Jarvis Dejuan Nelson
- Randy Oleynik
- Sanket Dipchandbhai Patel
- Deborah Marie Roman
- Adil Sarosh
- Deantha Dawn Schuman
- Crystal Ann Shagena
- Jessica Lynne Sharon
All providers in Carleton, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.