Individual
DR. TIMOTHY JAMES BELLEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS DC CCSP CKTP
Contact information
Practice address
825 S HURON RD, SUITE H, GREEN BAY, WI 54311-8049
(920) 406-8700
(920) 406-8712
Mailing address
825 S HURON RD, SUITE H, GREEN BAY, WI 54311-8049
(920) 406-8700
(920) 406-8712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2670012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38868000
—
WI
Enumeration date
11/02/2006
Last updated
11/24/2015
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