Provider Demographics
NPI:1467851683
Name:EVE BEND D.C.
Entity Type:Organization
Organization Name:EVE BEND D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:BEND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-585-9047
Mailing Address - Street 1:17200 E 10 MILE RD
Mailing Address - Street 2:STE130
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3355
Mailing Address - Country:US
Mailing Address - Phone:586-585-9047
Mailing Address - Fax:586-585-9126
Practice Address - Street 1:17200 E 10 MILE RD
Practice Address - Street 2:STE130
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3355
Practice Address - Country:US
Practice Address - Phone:586-585-9047
Practice Address - Fax:586-585-9126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty