Provider Demographics
NPI:1962614396
Name:BELL, LEE BARRY
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:BARRY
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 1:8395 US HIGHWAY 52
Mailing Address - Street 2:P.O. BOX 192
Mailing Address - City:ADAMS COUNTY
Mailing Address - State:OH
Mailing Address - Zip Code:45144-9765
Mailing Address - Country:US
Mailing Address - Phone:937-549-4657
Mailing Address - Fax:
Practice Address - Street 1:8395 US HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:ADAMS COUNTY
Practice Address - State:OH
Practice Address - Zip Code:45144-9765
Practice Address - Country:US
Practice Address - Phone:937-549-4657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2348874Medicaid