Healthcare Provider Details

I. General information

NPI: 1033477328
Provider Name (Legal Business Name): BRITTANY A BABLE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16136 STATE ROUTE 170
CALCUTTA OH
43920-9099
US

IV. Provider business mailing address

16136 STATE ROUTE 170
CALCUTTA OH
43920-9099
US

V. Phone/Fax

Practice location:
  • Phone: 330-385-1611
  • Fax: 330-385-8741
Mailing address:
  • Phone: 330-385-1611
  • Fax: 330-385-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC4463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: