Bell, Wanda
Bell, Wanda is an individual health care provider with primary practice located at 5907 W. Marshall Ave , Longview TX 75604. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bell, Wanda can be contacted via phone (903) 759-6500.Contact Information
Primary practice address
5907 W. Marshall Ave
Longview TX 75604
Phone: (903) 759-6500
Fax: (903) 759-6500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1110948 | Texas |
Profile Details
| NPI number | 1710007133 |
|---|---|
| LBN Legal business name | Bell, Wanda |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 10th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710007133 | NPPES |
| Texas | MEDICAID | 0631053-03 | |
| Texas | MEDICAID | 063105302 |
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