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Organization
BOEHLY CHIROPRACTIC, PLLC
Active
Organization
BOEHLY CHIROPRACTIC, PLLC
Active
Other names
Elevate Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD BOEHLY DC (OWNER)
(585) 271-5590
Entity
Organization
Contact information
Practice address
779 UNIVERSITY AVE, ROCHESTER, NY 14607-1226
(585) 271-5590
(585) 271-5593
Mailing address
779 UNIVERSITY AVE, ROCHESTER, NY 14607-1375
(585) 271-5590
(585) 271-5593
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0188558590
EXCELLUS BCBS GROUP ID #
NY
Enumeration date
04/10/2007
Last updated
11/16/2025
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