=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699835306
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEVIN ALEXANDER BELDEN DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 10/23/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 440 SANDALWOOD AVE
-----------------------------------------------------
City | HAMILTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08819-2338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-586-2133
-----------------------------------------------------
Fax | 609-586-1934
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 440 SANDALWOOD AVE
-----------------------------------------------------
City | HAMILTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08819-2338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-586-2133
-----------------------------------------------------
Fax | 609-586-1934
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 38MC00284900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------