Provider Demographics
NPI:1437115573
Name:1831 BELCHER ASSOCIATES INC
Entity Type:Organization
Organization Name:1831 BELCHER ASSOCIATES INC
Other - Org Name:BELCHER POINT CHIROPRACTIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-791-6226
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779
Mailing Address - Country:US
Mailing Address - Phone:727-791-6226
Mailing Address - Fax:727-724-9705
Practice Address - Street 1:1831 N BELCHER RD
Practice Address - Street 2:STE C-1
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1442
Practice Address - Country:US
Practice Address - Phone:727-791-6226
Practice Address - Fax:727-791-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381407600Medicaid
FL382008400Medicaid
FL382008400Medicaid
FLU88714Medicare UPIN
FLAA807Medicare PIN