Provider Demographics
NPI:1114073822
Name:BELL AND CALLAGHAN CHIROPRACTORS, PC
Entity Type:Organization
Organization Name:BELL AND CALLAGHAN CHIROPRACTORS, PC
Other - Org Name:DBA ABUNDANT LIFE CHIROPRACTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-792-1691
Mailing Address - Street 1:357 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1506
Mailing Address - Country:US
Mailing Address - Phone:518-792-1691
Mailing Address - Fax:518-792-1861
Practice Address - Street 1:357 RIDGE RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1506
Practice Address - Country:US
Practice Address - Phone:518-792-1691
Practice Address - Fax:518-792-1861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3965111N00000X
NY3896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10031948OtherCDPHP
NY126122OtherACN
NYX46511OtherEMPIRE
NY10033801OtherCDPHP
NY1048163OtherAMERICAN SPECIALTY HLTH
NY1048881OtherAMERICAN SPECIALTY HLTH
NYX31191OtherEMPIRE
NY54027BMedicare ID - Type Unspecified
NY50253BMedicare ID - Type Unspecified
NYU39161Medicare UPIN
NY1048881OtherAMERICAN SPECIALTY HLTH