Provider Demographics
NPI:1366698672
Name:BELLO, ROLANDO JR (DC)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:
Last Name:BELLO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BRIDGE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2956
Mailing Address - Country:US
Mailing Address - Phone:724-371-0280
Mailing Address - Fax:724-888-2458
Practice Address - Street 1:99 BRIDGE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2956
Practice Address - Country:US
Practice Address - Phone:724-371-0280
Practice Address - Fax:724-888-2458
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008383111N00000X
PADC009970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor