Provider Demographics
NPI:1225393390
Name:EIRICH, BRITTANY R (MD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:R
Last Name:EIRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:R
Other - Last Name:FOLKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3911 AVE B STE #1100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361
Mailing Address - Country:US
Mailing Address - Phone:720-732-3406
Mailing Address - Fax:303-318-2481
Practice Address - Street 1:3911 AVE B STE #1100
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361
Practice Address - Country:US
Practice Address - Phone:720-732-3406
Practice Address - Fax:303-318-2481
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29062207R00000X
CODR.0055044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine