Provider Demographics
NPI:1346375821
Name:PRIEBE BELMAR, LAURA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANNE
Last Name:PRIEBE BELMAR
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 1:689 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8100
Mailing Address - Country:US
Mailing Address - Phone:239-262-0606
Mailing Address - Fax:239-262-3482
Practice Address - Street 1:689 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8100
Practice Address - Country:US
Practice Address - Phone:239-262-0606
Practice Address - Fax:239-262-3482
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11312111N00000X
MO006517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1006248OtherCIGNA-ASHN PROV #
MO105142OtherBLUE CROSS PROV #
MO296259OtherHEALTHLINK PROV #
MOP00244094OtherMEDICARE RR PROV #
MO231771OtherGHP PROVIDER #
MO5180315OtherAETNA PROVIDER #
MO5180315OtherAETNA PROVIDER #
MO1006248OtherCIGNA-ASHN PROV #