Provider Demographics
NPI:1205590882
Name:CALVILLO, BRITNEY MARIE (DC)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:MARIE
Last Name:CALVILLO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4619 CHADWICK RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8060
Mailing Address - Country:US
Mailing Address - Phone:319-266-1119
Mailing Address - Fax:319-266-5275
Practice Address - Street 1:4619 CHADWICK RD
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8060
Practice Address - Country:US
Practice Address - Phone:319-266-1119
Practice Address - Fax:319-266-5275
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor