Provider Demographics
NPI:1265902621
Name:ELGATIAN, BRITTNEY ALISON (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:ALISON
Last Name:ELGATIAN
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 1:2797 180TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-9745
Mailing Address - Country:US
Mailing Address - Phone:712-363-0117
Mailing Address - Fax:
Practice Address - Street 1:2797 180TH ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-9745
Practice Address - Country:US
Practice Address - Phone:712-363-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor