Provider Demographics
NPI:1831637669
Name:THE BEND, PC
Entity Type:Organization
Organization Name:THE BEND, PC
Other - Org Name:WHOLE MOTION, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PUTNAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-888-6044
Mailing Address - Street 1:PO BOX 5112
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-5112
Mailing Address - Country:US
Mailing Address - Phone:406-888-6044
Mailing Address - Fax:
Practice Address - Street 1:245 2ND ST W
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-3006
Practice Address - Country:US
Practice Address - Phone:406-888-6044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI CHI LIC 4489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDU64605Medicare UPIN