Provider Demographics
NPI:1326807090
Name:JAKE BELABIN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JAKE BELABIN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELABIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-857-9123
Mailing Address - Street 1:1312 AVIATION BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4068
Mailing Address - Country:US
Mailing Address - Phone:607-426-5909
Mailing Address - Fax:
Practice Address - Street 1:1312 AVIATION BLVD STE 104
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-4068
Practice Address - Country:US
Practice Address - Phone:607-426-5909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty