Healthcare Provider Details

I. General information

NPI: 1710920590
Provider Name (Legal Business Name): CHRISTOPHER G. BELTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 27TH ST STE 102
PORTSMOUTH OH
45662-2657
US

IV. Provider business mailing address

1735 27TH ST SUITE B06
PORTSMOUTH OH
45662
US

V. Phone/Fax

Practice location:
  • Phone: 740-356-1709
  • Fax: 740-353-3027
Mailing address:
  • Phone: 740-356-8681
  • Fax: 740-353-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number6938629-1204
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34128548
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: