Provider Demographics
NPI:1427757863
Name:NOEL, BRITTANY DANE (DC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DANE
Last Name:NOEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 S COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62946-2637
Mailing Address - Country:US
Mailing Address - Phone:618-252-2225
Mailing Address - Fax:618-252-0512
Practice Address - Street 1:908 S COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:IL
Practice Address - Zip Code:62946-2637
Practice Address - Country:US
Practice Address - Phone:618-252-2225
Practice Address - Fax:618-252-0512
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013978111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty