Provider Demographics
NPI:1427275130
Name:BELDE FAMILY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:BELDE FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BELDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-856-8500
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:26144 3RD ST E
Mailing Address - City:ZIMMERMAN
Mailing Address - State:MN
Mailing Address - Zip Code:55398-0377
Mailing Address - Country:US
Mailing Address - Phone:763-856-8500
Mailing Address - Fax:763-856-8502
Practice Address - Street 1:26144 3RD ST E
Practice Address - Street 2:
Practice Address - City:ZIMMERMAN
Practice Address - State:MN
Practice Address - Zip Code:55398-9305
Practice Address - Country:US
Practice Address - Phone:763-856-8500
Practice Address - Fax:763-856-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty