Provider Demographics
NPI:1346242807
Name:BRITTON CENTER, P.A.
Entity Type:Organization
Organization Name:BRITTON CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:651-225-1102
Mailing Address - Street 1:360 SHERMAN STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102
Mailing Address - Country:US
Mailing Address - Phone:651-225-1102
Mailing Address - Fax:612-564-4902
Practice Address - Street 1:360 SHERMAN STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-225-1102
Practice Address - Fax:612-564-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1537174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1537OtherMN BOARD OF MEDICAL PRACT