Provider Demographics
NPI:1871589309
Name:BELL, L.J. PATRICK II (DO)
Entity type:Individual
Prefix:DR
First Name:L.J.
Middle Name:PATRICK
Last Name:BELL
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-3140
Mailing Address - Country:US
Mailing Address - Phone:870-338-8163
Mailing Address - Fax:870-338-7810
Practice Address - Street 1:626 POPLAR ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-3140
Practice Address - Country:US
Practice Address - Phone:870-338-8163
Practice Address - Fax:870-338-7810
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN7378207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR113640003Medicaid
AR57629Medicare PIN
AR113640003Medicaid
ARD79423Medicare UPIN