Individual
DR. STEVEN CRAIG BOESCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. WITH PT
Contact information
Practice address
13890 FORSYTHE RD, SYKESVILLE, MD 21784-5811
(410) 442-8088
(410) 442-1547
Mailing address
PO BOX 325, WEST FRIENDSHIP, MD 21794-0325
(410) 442-8088
(410) 442-1547
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
01221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35118401
PROFESSIONAL RENDERING
MD
01
—
F5160001
BLUE CHOICE
MH
01
—
KAH5
BLUE CROSS CAREFIRST
MD
Enumeration date
11/08/2006
Last updated
10/13/2011
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