Healthcare Provider Details

I. General information

NPI: 1669831756
Provider Name (Legal Business Name): BELL AUXILIARY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LAKESHORE DRIVE
ISHPEMING MI
49849
US

IV. Provider business mailing address

901 LAKESHORE DRIVE
ISHPEMING MI
49849
US

V. Phone/Fax

Practice location:
  • Phone: 906-485-2751
  • Fax:
Mailing address:
  • Phone: 906-485-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE SOLKA
Title or Position: LIFELINE MANAGER
Credential:
Phone: 906-485-2751