Provider Demographics
NPI:1407044753
Name:MICHAEL T BELL, A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:MICHAEL T BELL, A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:951-925-8082
Mailing Address - Street 1:1011 E DEVONSHIRE AVE
Mailing Address - Street 2:200
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-3033
Mailing Address - Country:US
Mailing Address - Phone:951-925-8082
Mailing Address - Fax:951-925-8320
Practice Address - Street 1:1011 E DEVONSHIRE AVE
Practice Address - Street 2:200
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-3033
Practice Address - Country:US
Practice Address - Phone:951-925-8082
Practice Address - Fax:951-925-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ03886ZMedicare PIN