Provider Demographics
NPI:1558507319
Name:BELL, TOREN D (CST/SA-C)
Entity Type:Individual
Prefix:MR
First Name:TOREN
Middle Name:D
Last Name:BELL
Suffix:
Gender:M
Credentials:CST/SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 SPEDALE CT
Mailing Address - Street 2:#184
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6105
Mailing Address - Country:US
Mailing Address - Phone:615-417-7199
Mailing Address - Fax:
Practice Address - Street 1:5016 SPEDALE CT
Practice Address - Street 2:#184
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-6105
Practice Address - Country:US
Practice Address - Phone:615-417-7199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ00-211246ZS0410X
CO83801246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist