Provider Demographics
NPI:1740941764
Name:FUSSY, BRITTANY CHRISTINA (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:CHRISTINA
Last Name:FUSSY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:CHRISTINA
Other - Last Name:POGONES-FUSSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6880 BOUDIN ST NE STE 230
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-1510
Mailing Address - Country:US
Mailing Address - Phone:952-447-0985
Mailing Address - Fax:952-447-0986
Practice Address - Street 1:1400 MADISON AVE STE 700
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-5473
Practice Address - Country:US
Practice Address - Phone:763-354-8468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-02
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor