Boshoff Chiropractic Clinic, Llc

NPI 1356377519 - Chiropractor - 111N00000X

NPI Details
NPI 1356377519
Enumeration Date 06/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LYNETTE LYNETTE
Position OWNER
Phone (414) 774-2300
Fax (414) 774-0341
Practice Location
8812 W NORTH AVE
WAUWATOSA WI, 53226-2726, US
Phone (414) 774-2300
Fax (414) 774-0341
Business Location
906 REVERE DR
OCONOMOWOC WI, 53066-4421, US
Phone (414) 617-0909
Fax (414) 774-0341
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3869-012
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According to our database, Boshoff Chiropractic Clinic, Llc NPI is 1356377519, taxonomy code is 111N00000X and license number is 3869-012, license state is located at Wisconsin. Boshoff Chiropractic Clinic, Llc physically located at 8812 W North Ave, Wauwatosa WI, 53226-2726. NPI Number 1033115704 has the healthcare provider type.

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1356377519 NPI number is provided on an as is basis without warranty of any kind. 1356377519 is maintained by the National Plan & Provider Enumeration System. The contents of Boshoff Chiropractic Clinic, Llc are for informational purposes only.