Provider Demographics
NPI:1215584321
Name:BELLEVIEW SPINE & WELLNESS COS LLC
Entity Type:Organization
Organization Name:BELLEVIEW SPINE & WELLNESS COS LLC
Other - Org Name:BELLEVIEW SPINE AND WELLNESS COS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-247-8441
Mailing Address - Street 1:1712 W UINTAH ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2958
Mailing Address - Country:US
Mailing Address - Phone:719-247-8441
Mailing Address - Fax:303-265-9768
Practice Address - Street 1:1712 W UINTAH ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-2958
Practice Address - Country:US
Practice Address - Phone:719-247-8441
Practice Address - Fax:303-265-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty