Provider Demographics
NPI:1033534482
Name:CORRELL, BRITTANY CLAIRE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:CLAIRE
Last Name:CORRELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:CLAIRE
Other - Last Name:RUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1924 E HANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALTON GARDENS
Mailing Address - State:ID
Mailing Address - Zip Code:83815-9589
Mailing Address - Country:US
Mailing Address - Phone:208-292-4873
Mailing Address - Fax:208-292-4875
Practice Address - Street 1:1104 N 4TH ST STE B
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3217
Practice Address - Country:US
Practice Address - Phone:208-292-4873
Practice Address - Fax:208-292-4875
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60446348111N00000X
IDCHIA-2034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor