Provider Demographics
NPI:1497563456
Name:CB-BILLING
Entity type:Organization
Organization Name:CB-BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-381-5773
Mailing Address - Street 1:5343 BELLEVILLE CROSSING ST UNIT 29
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-3108
Mailing Address - Country:US
Mailing Address - Phone:718-701-8699
Mailing Address - Fax:
Practice Address - Street 1:102 CHASE PARK DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5004
Practice Address - Country:US
Practice Address - Phone:618-381-5773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service