Healthcare Provider Details
I. General information
NPI: 1952724023
Provider Name (Legal Business Name): BRITTANY CHRISTINE FALCONE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2014
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
82 PARK AVE
WORCESTER MA
01609
US
IV. Provider business mailing address
82 PARK AVE
WORCESTER MA
01609-1742
US
V. Phone/Fax
- Phone: 508-752-7521
- Fax: 508-798-3418
- Phone: 508-752-7521
- Fax: 508-798-3418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC-1317 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 33365 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 4995-12 |
| License Number State | WI |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 3530 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: