Provider Demographics
NPI:1699400812
Name:BELZIL, JOSEPH (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BELZIL
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 1:42283 10TH ST. WEST FRYE CHIROPRACTIC, INC
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-6700
Mailing Address - Country:US
Mailing Address - Phone:661-949-9655
Mailing Address - Fax:661-949-7773
Practice Address - Street 1:42283 10TH ST. WEST FRYE CHIROPRACTIC, INC
Practice Address - Street 2:SUITE 107
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6700
Practice Address - Country:US
Practice Address - Phone:661-949-9655
Practice Address - Fax:661-949-7773
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor