Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5581 | CO |
NPI | 1013039346 |
---|---|
Provider Name | Dr. Brian C Bellfield |
First Address | Longmont, CO 80501-3217 |
Second Address | Longmont, CO 80501-3217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 08/07/2007 |