Organization
BOEHLY CHIROPRACTIC, PLLC
Active
Other names
Elevate Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD BOEHLY D.C. (OWNER)
(585) 889-7170
Entity
Organization
Contact information
Practice address
3225 CHILI AVE, SUITE #2, ROCHESTER, NY 14624-5442
(585) 889-7170
(585) 889-7178
Mailing address
3225 CHILI AVE, SUITE #2, ROCHESTER, NY 14624-5442
(585) 889-7170
(585) 889-7178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0187432590
EXCELLUS BCBS GROUP ID #
NY
Enumeration date
04/13/2007
Last updated
12/28/2015
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