Provider Demographics
NPI:1942221734
Name:BELKNAP, BELKNAP & BRIGGS CHIROPRACTIC CENTER PLL
Entity Type:Organization
Organization Name:BELKNAP, BELKNAP & BRIGGS CHIROPRACTIC CENTER PLL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:BELKNAP
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:330-364-4427
Mailing Address - Street 1:238 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2626
Mailing Address - Country:US
Mailing Address - Phone:330-364-4427
Mailing Address - Fax:330-364-4428
Practice Address - Street 1:238 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2626
Practice Address - Country:US
Practice Address - Phone:330-364-4427
Practice Address - Fax:330-364-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2605523Medicaid
OH2605523Medicaid