Provider Demographics
NPI:1265018345
Name:BELLOF, SNOBIAH L
Entity type:Individual
Prefix:
First Name:SNOBIAH
Middle Name:L
Last Name:BELLOF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:SAWYER
Mailing Address - State:ND
Mailing Address - Zip Code:58781-5029
Mailing Address - Country:US
Mailing Address - Phone:701-441-1978
Mailing Address - Fax:
Practice Address - Street 1:10 1ST ST SW
Practice Address - Street 2:
Practice Address - City:SAWYER
Practice Address - State:ND
Practice Address - Zip Code:58781-5029
Practice Address - Country:US
Practice Address - Phone:701-441-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant