# BOEHLY CHIROPRACTIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elevate Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215151832
- **Authorized official:** DR. CHARLES RICHARD BOEHLY D.C. (OWNER)
- **Authorized official phone:** (585) 889-7170

## Contact information

- **Practice address:** 3225 CHILI AVE, SUITE \#2, ROCHESTER, NY 14624-5442
- **Practice address phone:** (585) 889-7170
- **Practice address fax:** (585) 889-7178
- **Mailing address:** 3225 CHILI AVE, SUITE \#2, ROCHESTER, NY 14624-5442
- **Mailing address phone:** (585) 889-7170
- **Mailing address fax:** (585) 889-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009295 | NY | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 12/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G0187432590 | EXCELLUS BCBS GROUP ID \# | NY |