Provider Demographics
NPI:1154675734
Name:BELL, ALEXANDER GRAHAM
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:GRAHAM
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 INDIAN BAY DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3458
Mailing Address - Country:US
Mailing Address - Phone:501-833-0892
Mailing Address - Fax:
Practice Address - Street 1:713 INDIAN BAY DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3458
Practice Address - Country:US
Practice Address - Phone:501-833-0892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator