Provider Demographics
NPI:1497748198
Name:NOLAN BELANGER, CATHARINE M (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:M
Last Name:NOLAN BELANGER
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 1:10530 E HAYMARKET ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-5940
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10530 E HAYMARKET ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-5940
Practice Address - Country:US
Practice Address - Phone:925-518-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009439111N00000X
AZ8437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H261870OtherBLUE CROSS
7395404OtherAETNA
MI0H261870OtherBLUE CROSS
U91265Medicare UPIN
TXU91265Medicare UPIN
MI0N45010005Medicare PIN