Provider Demographics
NPI:1225465602
Name:BRITNEY LAND CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BRITNEY LAND CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-729-1191
Mailing Address - Street 1:751 N 20TH ST
Mailing Address - Street 2:P.O. BOX 1330
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9155
Mailing Address - Country:US
Mailing Address - Phone:417-582-5200
Mailing Address - Fax:
Practice Address - Street 1:751 N 20TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-9155
Practice Address - Country:US
Practice Address - Phone:417-582-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013034715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty