Doctor Name: | DR. TIMOTHY JAMES BELLEAU |
NPI Number: | 1144308578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS DC CCSP CKTP |
License Number: | 2670012 |
Business Practice Address: | 825 S Huron Rd Suite H Green Bay, WI - 543118049 |
Business Phone Number: | 9204068700 |
Business Fax Number: | 9204068712 |
Mailing Address: | 825 S Huron Rd, Suite H GREEN BAY |
State: | WI |
Postal Code: | 543118049 |
Phone Number: | 9204068700 |
Fax Number: | 9204068712 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2670012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |