Provider Demographics
NPI:1548267891
Name:BELL, ROBERT T (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:BELL
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 1:1199 E WALNUT ST
Mailing Address - Street 2:STE 104
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-5164
Mailing Address - Country:US
Mailing Address - Phone:626-792-4404
Mailing Address - Fax:
Practice Address - Street 1:1199 E WALNUT ST
Practice Address - Street 2:STE 104
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-5164
Practice Address - Country:US
Practice Address - Phone:626-792-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor