Healthcare Provider Details

I. General information

NPI: 1861886376
Provider Name (Legal Business Name): STEVEN M BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16719 COASTAL HWY
LEWES DE
19958-3653
US

IV. Provider business mailing address

16719 COASTAL HWY
LEWES DE
19958-3653
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-4404
  • Fax: 302-644-2830
Mailing address:
  • Phone: 302-644-4404
  • Fax: 302-644-2830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number2015602013
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: