Healthcare Provider Details

I. General information

NPI: 1306832746
Provider Name (Legal Business Name): WARREN GREGORY BELCHER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 06/28/2006

III. Provider practice location address

1325 MOUNT HERMON RD SUITE 11 A
SALISBURY MD
21804-5259
US

IV. Provider business mailing address

1325 MOUNT HERMON RD SUITE 11 A
SALISBURY MD
21804-5259
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-9026
  • Fax:
Mailing address:
  • Phone: 410-749-9026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1356PT
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: