Provider Demographics
NPI:1346461993
Name:BELL, GUS WES (DC)
Entity Type:Individual
Prefix:DR
First Name:GUS
Middle Name:WES
Last Name:BELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-1261
Mailing Address - Country:US
Mailing Address - Phone:334-514-4977
Mailing Address - Fax:334-514-4979
Practice Address - Street 1:21 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-1261
Practice Address - Country:US
Practice Address - Phone:334-514-4977
Practice Address - Fax:334-514-4979
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL571148567OtherCAREMARK
AL571148567OtherACCORDIA
AL571148567OtherMAIL HANDLERS
AL571148567OtherGEHA
AL51515004OtherBLUE CROSS AND BLUE SHIEL
AL571148567OtherUNITED HEALTHCARE
AL571148567OtherGEHA
AL571148567OtherACCORDIA