NPI 1366114530
Gernetha Bell
Practice location
- Address
- 4215 E State St STE 205d, Rockford, IL 61108-2037
- Phone
- (815) 494-4204
- Mailing address
- 1722 van Wie Ave, Rockford, IL 61103-3962
Authorised official
- Name
- Gernetha Bell
- Title
- Ceo
- Phone
- (815) 494-4204
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1366114530
- Entity type
- Organization
- NPI issued
- 5 Oct 2021
- Record last updated
- 5 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.