Organization
BOHNEN CHIROPRACTIC CENTER P A
Active
Other names
Bohnen Chiropractic Center P A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALBERT BOHNEN DC (OWNER PRESIDENT)
(763) 444-5597
Entity
Organization
Contact information
Practice address
401 EAST DUAL BLVD, ISANTI, MN 55040
(763) 444-5597
(763) 444-5598
Mailing address
PO BOX 337, ISANTI, MN 55040-0337
(763) 444-5597
(763) 444-5598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230103
CHIROCARE
FM
01
—
56040 BO
BC BS
MN
Enumeration date
01/05/2007
Last updated
08/22/2020
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