Provider Demographics
NPI:1306313762
Name:BELL CHIROPRACTIC AND PAIN MANAGEMENT LLC
Entity type:Organization
Organization Name:BELL CHIROPRACTIC AND PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-838-1983
Mailing Address - Street 1:493 RUE SAINT FRANCOIS ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5063
Mailing Address - Country:US
Mailing Address - Phone:314-838-1983
Mailing Address - Fax:314-838-1586
Practice Address - Street 1:493 RUE SAINT FRANCOIS ST STE 1A
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5063
Practice Address - Country:US
Practice Address - Phone:314-838-1983
Practice Address - Fax:314-838-1586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty