Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104000696 | VA |
NPI | 1003914144 |
---|---|
Provider Name | Dr. Donald Richard Bell |
First Address | Bridgewater, VA 22812 |
Second Address | Bridgewater, VA 22812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
317462 | ANTHEM OF VIRGINIA (01) | VA |