Provider Demographics
NPI: | 1114236361 |
---|---|
Name: | BELLING CHIROPRACTIC, INC. |
Entity type: | Organization |
Organization Name: | BELLING CHIROPRACTIC, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RICK |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | BELLING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 949-400-5777 |
Mailing Address - Street 1: | 2304 FAIRHILL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | NEWPORT BEACH |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92660-3402 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 949-400-5777 |
Mailing Address - Fax: | 949-631-2050 |
Practice Address - Street 1: | 2304 FAIRHILL DR |
Practice Address - Street 2: | |
Practice Address - City: | NEWPORT BEACH |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92660-3402 |
Practice Address - Country: | US |
Practice Address - Phone: | 949-400-5777 |
Practice Address - Fax: | 949-631-2050 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-10-05 |
Last Update Date: | 2010-10-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 21641 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty |