1386864452 NPI number — BRITTON CHIROPRACTIC PLUS PLC

Table of content: (NPI 1386864452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386864452 NPI number — BRITTON CHIROPRACTIC PLUS PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRITTON CHIROPRACTIC PLUS PLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRITTON CHIROPRACTIC & REHAB CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386864452
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
351 HIGHWAY 12
Provider Second Line Business Mailing Address:
PO BOX 77
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51001-0077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-568-2307
Provider Business Mailing Address Fax Number:
712-568-3792

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
351 HIGHWAY 12
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51001-0077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-568-2307
Provider Business Practice Location Address Fax Number:
712-568-3792
Provider Enumeration Date:
04/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRITTON
Authorized Official First Name:
BRADLEY
Authorized Official Middle Name:
PHILLIP
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
712-568-2304

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X , with the licence number:  06564 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0425124 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: DB0763 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 7601800 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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