Provider Demographics
NPI:1174133219
Name:BRITT CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:BRITT CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:662-327-0444
Mailing Address - Street 1:2325A MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2640
Mailing Address - Country:US
Mailing Address - Phone:662-327-0444
Mailing Address - Fax:662-327-0474
Practice Address - Street 1:2325A MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2640
Practice Address - Country:US
Practice Address - Phone:662-327-0444
Practice Address - Fax:662-327-0474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITT CHIROPRACTIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1346260197OtherNPI
MS1262OtherLICENSE NUMBER