Provider Demographics
NPI:1386307924
Name:BELMONT CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BELMONT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:STUGART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:571-331-3343
Mailing Address - Street 1:44115 WOODRIDGE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6824
Mailing Address - Country:US
Mailing Address - Phone:571-291-9359
Mailing Address - Fax:
Practice Address - Street 1:44115 WOODRIDGE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-6824
Practice Address - Country:US
Practice Address - Phone:571-291-9359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty