Provider Demographics
NPI:1013087808
Name:BELITS, SLAVA (DC)
Entity Type:Individual
Prefix:DR
First Name:SLAVA
Middle Name:
Last Name:BELITS
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 1:13710 E RICE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1074
Mailing Address - Country:US
Mailing Address - Phone:303-500-7070
Mailing Address - Fax:303-479-2731
Practice Address - Street 1:13710 E RICE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1074
Practice Address - Country:US
Practice Address - Phone:303-693-2225
Practice Address - Fax:303-693-7670
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5794111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO803392Medicare ID - Type Unspecified