Individual
MR. BENJAMIN RITCH-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CC
Contact information
Practice address
11901 BUSINESS BLVD, SUITE 209, EAGLE RIVER, AK 99577-7701
(907) 694-6002
(907) 694-6015
Mailing address
11901 BUSINESS BLVD, SUITE 209, EAGLE RIVER, AK 99577-7701
(907) 694-6002
(907) 694-6015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG621
—
AK
05
—
HC1621
—
AK
Enumeration date
08/25/2011
Last updated
08/25/2011
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