Provider Demographics
NPI:1194195891
Name:BITTNER, BROOKE (DCC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:BITTNER
Suffix:
Gender:F
Credentials:DCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4065 HARTLAND RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-1005
Mailing Address - Country:US
Mailing Address - Phone:810-599-9203
Mailing Address - Fax:
Practice Address - Street 1:306 N BARNARD ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1878
Practice Address - Country:US
Practice Address - Phone:517-225-5126
Practice Address - Fax:517-376-6544
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor