Provider Demographics
NPI:1306832746
Name:BELCHER, WARREN GREGORY (DC)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:GREGORY
Last Name:BELCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 MOUNT HERMON RD
Mailing Address - Street 2:SUITE 11 A
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5259
Mailing Address - Country:US
Mailing Address - Phone:410-749-9026
Mailing Address - Fax:
Practice Address - Street 1:1325 MOUNT HERMON RD
Practice Address - Street 2:SUITE 11 A
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5259
Practice Address - Country:US
Practice Address - Phone:410-749-9026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2008-02-20
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-06-28
Provider Licenses
StateLicense IDTaxonomies
MD1356PT111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD89NH-WGOtherCAREFIRST BCBS
MD414562-02OtherCAREFIRST BCBS IDENTIFIER
8727-0001OtherCAREFIRST GHMSI
585QMedicare ID - Type Unspecified
MD414562-02OtherCAREFIRST BCBS IDENTIFIER