Healthcare Provider Details
I. General information
NPI: 1396284758
Provider Name (Legal Business Name): STEPHEN MICHAEL BELL JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/18/2017
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6905 E 96TH ST #600
INDIANAPOLIS IN
46250-4448
US
IV. Provider business mailing address
6905 E 96TH ST #600
INDIANAPOLIS IN
46250-4448
US
V. Phone/Fax
- Phone: 317-577-1990
- Fax:
- Phone: 317-577-1990
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 08002952A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: