Healthcare Provider Details

I. General information

NPI: 1902326242
Provider Name (Legal Business Name): DANIEL EUGENE BELL JR. BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 06/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 OLD ROUTE 119 HWY NORTH
INDIANA PA
15701
US

IV. Provider business mailing address

793 OLD ROUTE 119 HWY NORTH
INDIANA PA
15701
US

V. Phone/Fax

Practice location:
  • Phone: 724-465-5576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: