Provider Demographics
NPI:1821201021
Name:BRITFORD, ERIC WILTON
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:WILTON
Last Name:BRITFORD
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 1:3200 CANNOCK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6044
Mailing Address - Country:US
Mailing Address - Phone:614-470-8697
Mailing Address - Fax:614-475-8433
Practice Address - Street 1:3200 CANNOCK LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6044
Practice Address - Country:US
Practice Address - Phone:614-470-8697
Practice Address - Fax:614-475-8433
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRL881880343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)