Provider Demographics
NPI:1720318694
Name:BELL, CHRISTOPHER TIMOTHY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TIMOTHY
Last Name:BELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2132
Mailing Address - Country:US
Mailing Address - Phone:765-412-7099
Mailing Address - Fax:
Practice Address - Street 1:1000 3 MILE RD NW
Practice Address - Street 2:OFC C
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544-1650
Practice Address - Country:US
Practice Address - Phone:765-412-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI2301009640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program