Organization
BELVILLE FLETCHER CHIROPRACTIC OFFICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT L. BELVILLE DC (CO-PRESIDENT)
(920) 233-2828
Entity
Organization
Contact information
Practice address
440 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-2828
(920) 232-2829
Mailing address
PO BOX 2525, OSHKOSH, WI 54903-2525
(920) 233-2828
(920) 232-2928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38888100
—
WI
Enumeration date
04/16/2007
Last updated
08/22/2020
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