Provider Demographics
NPI:1073967477
Name:BELLEFEUILLE, JUSTINE (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:JUSTINE
Middle Name:
Last Name:BELLEFEUILLE
Suffix:
Gender:F
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6571 CAMINO VENTUROSO
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1525
Mailing Address - Country:US
Mailing Address - Phone:805-284-4400
Mailing Address - Fax:
Practice Address - Street 1:1602 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2520
Practice Address - Country:US
Practice Address - Phone:805-284-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor