Provider Demographics
NPI:1417064833
Name:BELL, WILLIAM GARRY (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GARRY
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 1:4157 ROCKLIN RD
Mailing Address - Street 2:STE C
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677
Mailing Address - Country:US
Mailing Address - Phone:916-632-1665
Mailing Address - Fax:916-632-1689
Practice Address - Street 1:4157 ROCKLIN RD
Practice Address - Street 2:STE C
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677
Practice Address - Country:US
Practice Address - Phone:916-632-1665
Practice Address - Fax:916-632-1689
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0193810Medicare ID - Type Unspecified