Provider Demographics
NPI:1053540757
Name:BELLINGHAUSEN, ALEXANDER WHILHELM (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:WHILHELM
Last Name:BELLINGHAUSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3523 COUNTRY CLUB RD. SUITE 5
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760
Mailing Address - Country:US
Mailing Address - Phone:607-239-4060
Mailing Address - Fax:
Practice Address - Street 1:3523 COUNTRY CLUB RD. SUITE #5
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760
Practice Address - Country:US
Practice Address - Phone:607-239-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB802111N00000X
NYX012660-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor