Provider Demographics
NPI:1699401620
Name:BELL, CALEB
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 REGENT ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5017
Mailing Address - Country:US
Mailing Address - Phone:716-201-2334
Mailing Address - Fax:716-201-1040
Practice Address - Street 1:181 OAKHURST ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1920
Practice Address - Country:US
Practice Address - Phone:716-228-4199
Practice Address - Fax:716-201-1040
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04746618Medicaid