Provider Demographics
NPI:1134344906
Name:JOSEPH L BELCHER DC PC
Entity type:Organization
Organization Name:JOSEPH L BELCHER DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-291-6710
Mailing Address - Street 1:10424 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3828
Mailing Address - Country:US
Mailing Address - Phone:313-291-6710
Mailing Address - Fax:313-291-8909
Practice Address - Street 1:10424 PELHAM RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3828
Practice Address - Country:US
Practice Address - Phone:313-291-6710
Practice Address - Fax:313-291-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIT33657Medicare UPIN
MI0H25011Medicare PIN