Provider Demographics
NPI:1922429612
Name:BELMONTE, ROBERT CAESAR II (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CAESAR
Last Name:BELMONTE
Suffix:II
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 1:3682 29TH ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-1812
Mailing Address - Country:US
Mailing Address - Phone:616-822-9799
Mailing Address - Fax:
Practice Address - Street 1:3682 29TH ST SE
Practice Address - Street 2:SUITE A
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-1812
Practice Address - Country:US
Practice Address - Phone:616-822-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor