Provider Demographics
NPI:1164595021
Name:BRITTON, JONATHAN CHASE (HIS, MBA)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:CHASE
Last Name:BRITTON
Suffix:
Gender:M
Credentials:HIS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2267 DEER LN
Mailing Address - Street 2:
Mailing Address - City:KIRBYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65679-9397
Mailing Address - Country:US
Mailing Address - Phone:417-546-6999
Mailing Address - Fax:
Practice Address - Street 1:180 MALL RD
Practice Address - Street 2:STE. F
Practice Address - City:HOLLISTER
Practice Address - State:MO
Practice Address - Zip Code:65672-9602
Practice Address - Country:US
Practice Address - Phone:417-339-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001271237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist