Healthcare Provider Details

I. General information

NPI: 1073781415
Provider Name (Legal Business Name): BELL FAMILY CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 US HIGHWAY 231
WETUMPKA AL
36092-2062
US

IV. Provider business mailing address

21 CAMBRIDGE CT
WETUMPKA AL
36093-1261
US

V. Phone/Fax

Practice location:
  • Phone: 334-514-4977
  • Fax: 334-514-4979
Mailing address:
  • Phone: 334-514-4977
  • Fax: 334-514-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2045
License Number StateAL

VIII. Authorized Official

Name: DR. GUS WES BELL
Title or Position: PRESIDENT
Credential: D.C.
Phone: 334-514-4977