Provider Demographics
NPI:1770249021
Name:BRITTEN, CAESAR II
Entity type:Individual
Prefix:
First Name:CAESAR
Middle Name:
Last Name:BRITTEN
Suffix:II
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 1:10335 DETROIT AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1666
Mailing Address - Country:US
Mailing Address - Phone:216-235-9054
Mailing Address - Fax:
Practice Address - Street 1:10335 DETROIT AVE APT 16
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-1666
Practice Address - Country:US
Practice Address - Phone:216-235-9054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSX048777343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)