Provider Demographics
NPI:1174054928
Name:JAUERNIG, BRITTANY LADONNA (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LADONNA
Last Name:JAUERNIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5552 W CALVEY CIR
Mailing Address - Street 2:
Mailing Address - City:CATAWISSA
Mailing Address - State:MO
Mailing Address - Zip Code:63015-1842
Mailing Address - Country:US
Mailing Address - Phone:719-344-1178
Mailing Address - Fax:
Practice Address - Street 1:4672 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:HOUSE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:63051-4343
Practice Address - Country:US
Practice Address - Phone:636-222-8872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023034897111N00000X
COCHR.0007546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor