Provider Demographics
NPI:1023178639
Name:BELL, HENRY JOSEPH JR (DC)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:JOSEPH
Last Name:BELL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 MONTGOMERY ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1611
Mailing Address - Country:US
Mailing Address - Phone:513-841-1050
Mailing Address - Fax:513-841-1052
Practice Address - Street 1:4069 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2323
Practice Address - Country:US
Practice Address - Phone:513-841-1050
Practice Address - Fax:513-841-1052
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0213361Medicaid
OH43611000OtherCARE SOURCE
OH43611000OtherCARE SOURCE