MEDICARE: DR. WILLIAM C. BOND DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	27 2120	OR

General Provider Information

NPI Number	:	1396890406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM C. BOND DC

Provider Business Mailing Address
First Line	:	1002 SPRING AVENUE
Second Line	:	SUITE 1
City	:	LA GRANDE
State	:	OR
Zip	:	97850
Country	:	US
Telephone Number	:	541-963-5466
Fax Number	:	541-963-7606

Provider Business Practice Location Address
First Line	:	1002 SPRING AVE
Second Line	:	SUITE 1
City	:	LA GRANDE
State	:	OR
Zip	:	97850-2518
Country	:	US
Telephone Number	:	541-963-5466
Fax Number	:	541-963-7606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. WILLIAM C. BOND DC” Practice Location

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