Dr Mark Belanger, DC | |
2705 Ne 65th St, Seattle, WA 98115-7129 | |
(206) 523-9000 | |
Not Available |
Full Name | Dr Mark Belanger |
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Gender | Male |
Speciality | Chiropractor |
Location | 2705 Ne 65th St, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285350751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH61367019 (Washington) | Primary |
Provider Name | Mindbody Medicine Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255838298 PECOS PAC ID: 0446506786 Enrollment ID: O20180628003439 |
Mailing Address | Practice Location Address |
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Dr Mark Belanger, DC 419 21st Ave Apt 2, Seattle, WA 98122-5938 Ph: (206) 523-5566 | Dr Mark Belanger, DC 2705 Ne 65th St, Seattle, WA 98115-7129 Ph: (206) 523-9000 |
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