Lawrence T Bellows, D.C.

Individual provider Active NPI Chiropractor · Mansfield, PA

NPI 1902012115 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902012115
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC007162L (PA)
Practice address
107 N Main St
Mansfield, PA 16933-1305
Phone
(570) 662-0927
Fax
(570) 662-2406
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007162L PA Yes

Addresses

Primary practice location

107 N Main St
Mansfield, PA 16933-1305

Mailing address

107 N Main St
Mansfield, PA 16933-1305
Phone (570) 662-0927

Other providers in Mansfield, PA

All providers in Mansfield, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.