Provider Demographics
NPI:1093887697
Name:BELLOWS, LAURA CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CATHERINE
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11822 ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901-6754
Mailing Address - Country:US
Mailing Address - Phone:570-724-3990
Mailing Address - Fax:570-724-3982
Practice Address - Street 1:11822 ROUTE 6
Practice Address - Street 2:
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-6754
Practice Address - Country:US
Practice Address - Phone:570-724-3990
Practice Address - Fax:570-724-3982
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor