Provider Demographics
NPI:1013275767
Name:BELL, CANDIS NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDIS
Middle Name:NICOLE
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
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 468
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-0468
Mailing Address - Country:US
Mailing Address - Phone:207-474-5121
Mailing Address - Fax:
Practice Address - Street 1:1381 N WAYNE ST
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-2348
Practice Address - Country:US
Practice Address - Phone:260-665-8222
Practice Address - Fax:260-665-8970
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD24953207Q00000X
IN010845521A207Q00000X
IL036157739207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine