Mary-Alice Bell
Individual provider Active NPI Prevention Professional · Chardon, OH
NPI 1174011985 · NPPES record last updated Apr 26, 2018
Key facts
- NPI
- 1174011985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prevention Professional 405300000X
- License
- 123456789 (OH)
- Practice address
- 12557 Ravenwood Dr
Chardon, OH 44024-9009 - Phone
- (440) 285-3568
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123456789 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 123456789 | OH | Yes |
Addresses
Primary practice location
12557 Ravenwood Dr
Chardon, OH 44024-9009
Mailing address
12557 Ravenwood Dr
Chardon, OH 44024-9009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171MOOOOOX | Medicaid | OH |
Other providers in Chardon, OH
- Heather Baur
- Michelle Anne Bayer
- Beacon Orthopaedics & Sports Medicine, LTD
- Agustus A Beck
- Louise Rosalee Bednarski
- Olivia Bell
- Justin Robert Belle
- Kelly Bencivenni
- Cory Bennet
- Amy Bennett
All providers in Chardon, OH · Prevention Professional in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.