Provider Demographics
NPI:1669679593
Name:ENGLAND, BRIAN ALAN (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ALAN
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 OLD JACKSONVILLE RD
Mailing Address - Street 2:103
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-6481
Mailing Address - Country:US
Mailing Address - Phone:217-572-1462
Mailing Address - Fax:
Practice Address - Street 1:2815 OLD JACKSONVILLE RD
Practice Address - Street 2:103
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-6481
Practice Address - Country:US
Practice Address - Phone:217-572-1462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010943111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor