MEDICARE: BOND TOTAL HEALTHCARE PC

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

General Provider Information

NPI Number	:	1548451289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOND TOTAL HEALTHCARE PC

Provider Business Mailing 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

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	:	CHIROPRACTOR
Name	:	DR. WILLIAM CHARLES BOND
Credential	:	DC
Telephone Number	:	541-963-5466

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/09/2007

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