Healthcare Provider Details

I. General information

NPI: 1326965823
Provider Name (Legal Business Name): QUADARIUS D BELSER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23201 CHARDON RD
EUCLID OH
44117-2025
US

IV. Provider business mailing address

23201 CHARDON RD
EUCLID OH
44117-2025
US

V. Phone/Fax

Practice location:
  • Phone: 216-645-0313
  • Fax:
Mailing address:
  • Phone: 216-645-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: