Individual
NICHOLAS GARRETT RITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 475-8787
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50005761RX
OH
363AS0400X
Surgical Physician Assistant
MA059140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339860
UPMC
PA
Enumeration date
09/11/2017
Last updated
07/03/2019
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