Provider Demographics
NPI:1083062830
Name:BELKA, ZOE VIOLET (DC)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:VIOLET
Last Name:BELKA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2611
Mailing Address - Country:US
Mailing Address - Phone:707-779-9278
Mailing Address - Fax:
Practice Address - Street 1:750 MORGAN DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2611
Practice Address - Country:US
Practice Address - Phone:707-779-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor