Provider Demographics
NPI:1720259468
Name:WILLIAM H. BELL III, D.O.,P.C.
Entity Type:Organization
Organization Name:WILLIAM H. BELL III, D.O.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:BELL
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:734-242-7212
Mailing Address - Street 1:905 N MACOMB ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3076
Mailing Address - Country:US
Mailing Address - Phone:734-242-7212
Mailing Address - Fax:734-242-7237
Practice Address - Street 1:905 N MACOMB ST STE 4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3076
Practice Address - Country:US
Practice Address - Phone:734-242-7212
Practice Address - Fax:734-242-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013196208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7881252OtherAETNA
MI0255800335OtherBCBS
MI03967OtherPARAMOUNT
MI4305093Medicaid
MI6891657-001OtherCIGNA
MI7881252OtherAETNA
MI6891657-001OtherCIGNA