Healthcare Provider Details

I. General information

NPI: 1427275130
Provider Name (Legal Business Name): BELDE FAMILY CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26144 3RD ST E
ZIMMERMAN MN
55398-9305
US

IV. Provider business mailing address

PO BOX 377 26144 3RD ST E
ZIMMERMAN MN
55398-0377
US

V. Phone/Fax

Practice location:
  • Phone: 763-856-8500
  • Fax: 763-856-8502
Mailing address:
  • Phone: 763-856-8500
  • Fax: 763-856-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL WILLIAM BELDE
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 763-856-8500