Provider Demographics
NPI:1730486101
Name:BELCHER CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:BELCHER CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-676-0022
Mailing Address - Street 1:112 SOUTHPORT DR.
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501
Mailing Address - Country:US
Mailing Address - Phone:606-676-0022
Mailing Address - Fax:606-676-0333
Practice Address - Street 1:112 SOUTHPORT DR.
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501
Practice Address - Country:US
Practice Address - Phone:606-676-0022
Practice Address - Fax:606-676-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty