Provider Demographics
NPI:1386810968
Name:BELL, JESSICA (DO)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 BOWDOIN MILL IS
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1265
Mailing Address - Country:US
Mailing Address - Phone:207-841-8900
Mailing Address - Fax:207-406-2433
Practice Address - Street 1:1 BOWDOIN MILL IS
Practice Address - Street 2:SUITE 204
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1265
Practice Address - Country:US
Practice Address - Phone:207-841-8900
Practice Address - Fax:207-406-2433
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2296032081P2900X
ME2102208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME434177099Medicaid