Provider Demographics
NPI:1487639522
Name:BELL, DEBRA (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NE MAYNARD RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9670
Mailing Address - Country:US
Mailing Address - Phone:919-461-3933
Mailing Address - Fax:
Practice Address - Street 1:160 NE MAYNARD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9670
Practice Address - Country:US
Practice Address - Phone:919-461-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085RGMedicaid
NC2340526Medicare ID - Type Unspecified
NC89085RGMedicaid
NCU76910Medicare UPIN