Provider Demographics
NPI:1831729508
Name:CECH, BRITTA CICANSKY
Entity type:Individual
Prefix:
First Name:BRITTA
Middle Name:CICANSKY
Last Name:CECH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTA
Other - Middle Name:
Other - Last Name:CICANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1951 BENZIE HWY
Mailing Address - Street 2:
Mailing Address - City:BENZONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49616-9691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1951 BENZIE HWY
Practice Address - Street 2:
Practice Address - City:BENZONIA
Practice Address - State:MI
Practice Address - Zip Code:49616-9691
Practice Address - Country:US
Practice Address - Phone:231-871-1817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor