Healthcare Provider Details

I. General information

NPI: 1720318694
Provider Name (Legal Business Name): CHRISTOPHER TIMOTHY BELL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2009
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 3 MILE RD NW OFC C
GRAND RAPIDS MI
49544-1650
US

IV. Provider business mailing address

820 WAVERLY AVE
GRAND HAVEN MI
49417-2132
US

V. Phone/Fax

Practice location:
  • Phone: 765-412-7099
  • Fax:
Mailing address:
  • Phone: 765-412-7099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009640
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: