Provider Demographics
NPI:1992917793
Name:BND ENTERPRISES, INC
Entity type:Organization
Organization Name:BND ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:509-200-1284
Mailing Address - Street 1:513 SE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1641
Mailing Address - Country:US
Mailing Address - Phone:509-200-1284
Mailing Address - Fax:
Practice Address - Street 1:513 SE 8TH ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1641
Practice Address - Country:US
Practice Address - Phone:509-200-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP000000821213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty