Individual
DR. CHARLES RICHARD BOEHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
779 UNIVERSITY AVE, ROCHESTER, NY 14607-1226
(585) 271-5590
(585) 271-5593
Mailing address
779 UNIVERSITY AVE, ROCHESTER, NY 14607-1226
(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
—
P0100009295
EXCELLUS BCBS
NY
Enumeration date
04/20/2006
Last updated
10/13/2023
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