Provider Demographics
NPI:1780331512
Name:BRITTINGHAM, JANICE F
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:F
Last Name:BRITTINGHAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 FISHER DR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-4204
Mailing Address - Country:US
Mailing Address - Phone:937-214-8798
Mailing Address - Fax:
Practice Address - Street 1:1147 FISHER DR
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4204
Practice Address - Country:US
Practice Address - Phone:937-214-8798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2908161Medicaid