1124429303 NPI number — MEGAN BELL

Table of content: MEGAN BELL (NPI 1124429303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124429303 NPI number — MEGAN BELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
MEGAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124429303
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8421 AUBURN BLVD
Provider Second Line Business Mailing Address:
BUILDING 3
Provider Business Mailing Address City Name:
CITRUS HEIGHTS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95610-4725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-722-6100
Provider Business Mailing Address Fax Number:
916-722-9229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8421 AUBURN BLVD
Provider Second Line Business Practice Location Address:
BUILDING 3
Provider Business Practice Location Address City Name:
CITRUS HEIGHTS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95610-0359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-722-6100
Provider Business Practice Location Address Fax Number:
916-722-9229
Provider Enumeration Date:
09/08/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)