Provider Demographics
NPI:1689457095
Name:CHAD LUCAS BELL, A PROFESSIONAL CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:CHAD LUCAS BELL, A PROFESSIONAL CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-938-9303
Mailing Address - Street 1:1270 SPRINGBROOK RD STE A
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3941
Mailing Address - Country:US
Mailing Address - Phone:925-938-9303
Mailing Address - Fax:925-938-9304
Practice Address - Street 1:1270 SPRINGBROOK RD STE A
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3941
Practice Address - Country:US
Practice Address - Phone:925-938-9303
Practice Address - Fax:925-938-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty