Provider Demographics
NPI:1447376769
Name:BOND CHIROPRACTIC AND REHABILITATION, PLLC
Entity type:Organization
Organization Name:BOND CHIROPRACTIC AND REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-225-0103
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-0176
Mailing Address - Country:US
Mailing Address - Phone:970-225-0103
Mailing Address - Fax:
Practice Address - Street 1:125 1ST ST
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:CO
Practice Address - Zip Code:80615-3478
Practice Address - Country:US
Practice Address - Phone:970-225-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty