Individual
HEIDI L BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
50 FILER ST, SUITE 216, MANISTEE, MI 49660-2726
(231) 723-2221
(231) 723-5078
Mailing address
50 FILER ST, SUITE 216, MANISTEE, MI 49660-2726
(231) 723-2221
(231) 723-5078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202052157
TAX ID
MI
01
—
950E110200
BCBS OF MICHIGAN
MI
Enumeration date
12/14/2005
Last updated
02/24/2010
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