1548450307 NPI number — DR. EDWIN BELLIS MD

Table of content: (NPI 1548450307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548450307 NPI number — DR. EDWIN BELLIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. EDWIN BELLIS MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1548450307
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1859
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21802-1859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-546-6322
Provider Business Mailing Address Fax Number:
410-546-6324

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32071 BEAVER RUN DR
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
SALIBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-546-6322
Provider Business Practice Location Address Fax Number:
410-546-6324
Provider Enumeration Date:
07/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
410-341-6420

Provider Taxonomy Codes

  • Taxonomy code: 208VP0000X , with the licence number:  D0028587 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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