Healthcare Provider Details

I. General information

NPI: 1962069831
Provider Name (Legal Business Name): DR. MADISON BELL DC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2019
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E PRIME ST
DOWNING MO
63536-2120
US

IV. Provider business mailing address

PO BOX 187
DOWNING MO
63536-0187
US

V. Phone/Fax

Practice location:
  • Phone: 660-341-5064
  • Fax:
Mailing address:
  • Phone: 808-367-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MADISON BELL
Title or Position: OWNER
Credential: DC
Phone: 808-707-9108