Provider Demographics
NPI:1245340595
Name:BELL, MARK JAMES (DC QME IIE)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:JAMES
Last Name:BELL
Suffix:
Gender:M
Credentials:DC QME IIE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2832 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3211
Mailing Address - Country:US
Mailing Address - Phone:714-532-2827
Mailing Address - Fax:714-532-2917
Practice Address - Street 1:2832 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3211
Practice Address - Country:US
Practice Address - Phone:714-532-2827
Practice Address - Fax:714-532-2917
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor