Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 100318 | IA |
N | 111N00000X | Chiropractor | 100820 | AK |
N | 111N00000X | Chiropractor | CH60467906 | WA |
N | 111NN1001X | Nutrition | CH60467906 | WA |
NPI | 1285048124 |
---|---|
Provider Name | Dr. Adam Bellendier |
First Address | Cedar Rapids, IA 52404-1453 |
Second Address | Cedar Rapids, IA 52404-1453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 13/09/2021 |