Provider Demographics
NPI:1356388987
Name:BOND, STEPHEN R (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:BOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:FRAZER
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1834
Mailing Address - Country:US
Mailing Address - Phone:610-640-4440
Mailing Address - Fax:
Practice Address - Street 1:480 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1834
Practice Address - Country:US
Practice Address - Phone:610-640-4440
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-3208-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0102520000OtherBLUE SHIELD
PA447974OtherHIGHMARK BLUE CROSS
PA447974OtherHIGHMARK BLUE CROSS