MEDICARE: COLBY BELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		LA

General Provider Information

NPI Number	:	1699558189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLBY BELL

Provider Business Mailing Address
First Line	:	820 JANNET DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4233
Country	:	US
Telephone Number	:	225-341-0076
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 JANNET DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4233
Country	:	US
Telephone Number	:	225-341-0076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2023
Last Update Date	:	08/17/2023

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Directions to “ COLBY BELL ” Practice Location

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