Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | S04111 | MD |
NPI | 1427712306 |
---|---|
Provider Name | Daniel Belmont |
First Address | Baltimore, MD 21230-3895 |
Second Address | Baltimore, MD 21230-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2021 |
Last Update Date | 26/10/2021 |