Provider Demographics
NPI:1487702833
Name:BELL, DONALD A III (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:BELL
Suffix:III
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 1:110 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-5923
Mailing Address - Country:US
Mailing Address - Phone:360-533-6620
Mailing Address - Fax:360-533-7016
Practice Address - Street 1:110 S PARK ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-5923
Practice Address - Country:US
Practice Address - Phone:360-533-6620
Practice Address - Fax:360-533-7016
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5316BEOtherREGENCE
WA0145102OtherDEPT. OF LABOR AND IND.
WAGAB20217Medicare ID - Type Unspecified