Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 34-009267 | OH |
NPI | 1003081449 |
---|---|
Provider Name | Dr. Jed Alexander Bell |
First Address | Lancaster, OH 43130-8410 |
Second Address | Lancaster, OH 43130-8410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2873814 | (05) | OH |
4236981 | (02) | OH |