Provider Demographics
NPI:1508143942
Name:JAMES M BELUE, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JAMES M BELUE, A MEDICAL CORPORATION
Other - Org Name:BELUE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BELUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-251-3774
Mailing Address - Street 1:707 SOUTH VIENNA SREET
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-5845
Mailing Address - Country:US
Mailing Address - Phone:318-251-3774
Mailing Address - Fax:318-251-0442
Practice Address - Street 1:707 SOUTH VIENNA SREET
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5845
Practice Address - Country:US
Practice Address - Phone:318-251-3774
Practice Address - Fax:318-251-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty