Healthcare Provider Details

I. General information

NPI: 1447376769
Provider Name (Legal Business Name): BOND CHIROPRACTIC AND REHABILITATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 1ST ST
EATON CO
80615-3478
US

IV. Provider business mailing address

PO BOX 176
EATON CO
80615-0176
US

V. Phone/Fax

Practice location:
  • Phone: 970-225-0103
  • Fax:
Mailing address:
  • Phone: 970-225-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GREG DAVID BOND
Title or Position: OWNER
Credential: D.C.
Phone: 970-225-0103