Provider Demographics
NPI:1730312752
Name:BELLOWS, MARIE (NMD)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:REBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16872-0165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RT 192
Practice Address - Street 2:
Practice Address - City:REBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:16872-0165
Practice Address - Country:US
Practice Address - Phone:580-571-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay