MEDICARE: RONALD L BEND 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	2301008935	MI

General Provider Information

NPI Number	:	1689696049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD L BEND DC

Provider Business Mailing Address
First Line	:	4040 24TH AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-3800
Country	:	US
Telephone Number	:	810-385-0235
Fax Number	:	810-385-0239

Provider Business Practice Location Address
First Line	:	4040 24TH AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-3800
Country	:	US
Telephone Number	:	810-385-0235
Fax Number	:	810-385-0239

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	05/10/2026

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