Provider Demographics
NPI:1790108553
Name:DOOLITTLE, BRITTON SONIA LEITER (CPM, LM)
Entity Type:Individual
Prefix:
First Name:BRITTON
Middle Name:SONIA LEITER
Last Name:DOOLITTLE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25755 E COUNTY HWY E
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:WI
Mailing Address - Zip Code:54856-3996
Mailing Address - Country:US
Mailing Address - Phone:715-209-5660
Mailing Address - Fax:
Practice Address - Street 1:25755 E COUNTY HWY E
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:WI
Practice Address - Zip Code:54856-3996
Practice Address - Country:US
Practice Address - Phone:715-209-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI73-49176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife