Provider Demographics
NPI:1073561692
Name:BELL FAMILY CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:BELL FAMILY CHIROPRACTIC CENTER PA
Other - Org Name:WHOLE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-461-3933
Mailing Address - Street 1:160 NE MAYNARD RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9670
Mailing Address - Country:US
Mailing Address - Phone:919-461-3933
Mailing Address - Fax:
Practice Address - Street 1:160 NE MAYNARD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9670
Practice Address - Country:US
Practice Address - Phone:919-461-3933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 2647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016N8OtherBCBS
NC89016N8Medicaid
NC2340526Medicare ID - Type UnspecifiedMEDICARE GROUP