Provider Demographics
NPI:1619226503
Name:BRITCHER, MARGARET EVELYN (LMT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:EVELYN
Last Name:BRITCHER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELDORA
Mailing Address - State:IA
Mailing Address - Zip Code:50627
Mailing Address - Country:US
Mailing Address - Phone:641-858-6097
Mailing Address - Fax:
Practice Address - Street 1:1233 14TH AVE
Practice Address - Street 2:
Practice Address - City:ELDORA
Practice Address - State:IA
Practice Address - Zip Code:50627
Practice Address - Country:US
Practice Address - Phone:641-858-6097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA005747172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker