Provider Demographics
NPI:1629311261
Name:MCMULLEN, BRITTANY (D C)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:MCMULLEN
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5898 PATHFINDER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61109-4008
Mailing Address - Country:US
Mailing Address - Phone:815-988-7831
Mailing Address - Fax:
Practice Address - Street 1:1752 WINDSOR RD STE 202
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-4276
Practice Address - Country:US
Practice Address - Phone:815-977-3747
Practice Address - Fax:779-774-3282
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor