MEDICARE: DR. CATHARINE M NOLAN BELANGER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301009439	MI
2	111N00000X	Chiropractor	8437	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0H261870	OTHER	MI	BLUE CROSS
2	7395404	OTHER		AETNA

General Provider Information

NPI Number	:	1497748198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHARINE M NOLAN BELANGER D.C.

Provider Business Mailing Address
First Line	:	10530 E HAYMARKET ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-5940
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10530 E HAYMARKET ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-5940
Country	:	US
Telephone Number	:	925-518-2527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	05/04/2023

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