Provider Demographics
NPI:1598321465
Name:BRITT, BENJAMIN R
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:R
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 1:3663 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1302
Mailing Address - Country:US
Mailing Address - Phone:216-278-3385
Mailing Address - Fax:
Practice Address - Street 1:3663 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1302
Practice Address - Country:US
Practice Address - Phone:216-278-3385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide