Provider Demographics
NPI:1619030913
Name:BELLISTRI, RONALD THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:THOMAS
Last Name:BELLISTRI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16360 MONTEREY ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5453
Mailing Address - Country:US
Mailing Address - Phone:408-778-7372
Mailing Address - Fax:408-778-7396
Practice Address - Street 1:16360 MONTEREY ST
Practice Address - Street 2:SUITE 160
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5453
Practice Address - Country:US
Practice Address - Phone:408-778-7372
Practice Address - Fax:408-778-7396
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor