Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 006381 | MO |
NPI | 1215074505 |
---|---|
Provider Name | Dr. Harold Robert Bell |
First Address | Carl Junction, MO 64834-0002 |
Second Address | Carl Junction, MO 64834-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U6055 | (02) | MO |