Provider Demographics
NPI:1447586029
Name:BELL, DAVID MARSHALL (LAC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MARSHALL
Last Name:BELL
Suffix:
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 1:205 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-3103
Mailing Address - Country:US
Mailing Address - Phone:207-879-6007
Mailing Address - Fax:
Practice Address - Street 1:205 CONCORD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-3103
Practice Address - Country:US
Practice Address - Phone:207-879-6007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist