Organization
BELLER CHIROPRACTIC LIFE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BELLER D.C. (OWNER)
(734) 282-8484
Entity
Organization
Contact information
Practice address
13301 REECK COURT, SUITE 1A, SOUTHGATE, MI 48195-3054
(734) 282-8484
(734) 282-7295
Mailing address
13301 REECK COURT, SUITE 1A, SOUTHGATE, MI 48195-3054
(734) 282-8484
(734) 282-7295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151958
—
MI
01
—
950H25342
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/18/2007
Last updated
03/20/2008
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