Provider Demographics
NPI:1588988521
Name:C WILLIAM BRITT JR MD PLLC
Entity type:Organization
Organization Name:C WILLIAM BRITT JR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:C
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:509-489-3879
Mailing Address - Street 1:42 E ROWAN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1212
Mailing Address - Country:US
Mailing Address - Phone:509-489-3879
Mailing Address - Fax:509-484-1823
Practice Address - Street 1:42 E ROWAN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1212
Practice Address - Country:US
Practice Address - Phone:509-489-3879
Practice Address - Fax:509-484-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1114099Medicaid