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Individual

MR. IAN JOSEPH BOEHM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9 BOSTON ST STE 1, LYNN, MA 01904-2536
(781) 599-3631
(781) 599-2285
Mailing address
9 BOSTON ST STE 1, LYNN, MA 01904-2536
(781) 599-3631
(781) 599-2285

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1269
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110030160A
MA
Enumeration date
05/17/2006
Last updated
08/28/2020
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