Provider Demographics
NPI:1558735118
Name:BELL, LEWIS (CFTS)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004B W CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-4716
Mailing Address - Country:US
Mailing Address - Phone:910-892-9286
Mailing Address - Fax:910-892-9286
Practice Address - Street 1:1004B W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4716
Practice Address - Country:US
Practice Address - Phone:910-892-9286
Practice Address - Fax:910-892-9286
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1788225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1160930001Medicare NSC