Organization
INTEGRATED HEALTH-CHIROPRACTIC PLLC
Active
Other names
Dr. Richard A. Boleyn
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A BOLEYN D.C. (PRESIDENT)
(423) 926-2121
Entity
Organization
Contact information
Practice address
112 E. MYRTLE AVE., SUITE 500, JOHNSON CITY, TN 37601
(423) 926-2121
(423) 926-0321
Mailing address
PO BOX 1015, JOHNSON CITY, TN 37605-1015
(423) 926-2121
(423) 926-0321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4012411
ANTHEM
TN
01
—
7144366
AETNA
TN
01
—
P00065031
RR MEDICARE
TN
Enumeration date
12/02/2006
Last updated
08/22/2020
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