Provider Demographics
NPI:1225768906
Name:BRITT, DAVID ALLEN
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:BRITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 LORA CT
Mailing Address - Street 2:
Mailing Address - City:ODD
Mailing Address - State:WV
Mailing Address - Zip Code:25902-1401
Mailing Address - Country:US
Mailing Address - Phone:304-575-2282
Mailing Address - Fax:
Practice Address - Street 1:149 LORA CT
Practice Address - Street 2:
Practice Address - City:ODD
Practice Address - State:WV
Practice Address - Zip Code:25902-1401
Practice Address - Country:US
Practice Address - Phone:304-575-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant