Provider Demographics
NPI:1154216794
Name:BELL, JOHN ROY III (LAC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ROY
Last Name:BELL
Suffix:III
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:CLANCY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9736
Mailing Address - Country:US
Mailing Address - Phone:406-830-0832
Mailing Address - Fax:
Practice Address - Street 1:3 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:CLANCY
Practice Address - State:MT
Practice Address - Zip Code:59634-9736
Practice Address - Country:US
Practice Address - Phone:406-830-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAHC-ACU-LIC-88741171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist