Provider Demographics
NPI:1609400795
Name:BRITT CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:BRITT CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-392-3363
Mailing Address - Street 1:3290 N WELLNESS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8047
Mailing Address - Country:US
Mailing Address - Phone:616-392-3363
Mailing Address - Fax:616-392-9030
Practice Address - Street 1:3290 N WELLNESS DR STE 150
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8047
Practice Address - Country:US
Practice Address - Phone:616-392-3363
Practice Address - Fax:616-392-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124093463OtherNPI INDIVIDUAL