Healthcare Provider Details

I. General information

NPI: 1518242585
Provider Name (Legal Business Name): COURTNEY ELENA BELL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2011
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 GRANT LINE RD
NEW ALBANY IN
47150-6413
US

IV. Provider business mailing address

1319 DUNCAN AVE FAMILY HEALTH CENTER OF SOUTHERN INDIANA
JEFFERSONVILLE IN
47130-3759
US

V. Phone/Fax

Practice location:
  • Phone: 812-725-8126
  • Fax: 812-944-9155
Mailing address:
  • Phone: 812-283-2308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002610A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: