Individual
DR. ALICYN MARIE BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1608 CHAPEL HILL RD STE D, COLUMBIA, MO 65203-5464
(573) 445-4000
(573) 447-3336
Mailing address
2216 FORUM BLVD, STE 102, COLUMBIA, MO 65203-5409
(573) 445-4000
(573) 447-3336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005003663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198295
BLUE CROSS BLUE SHIELD
MO
01
—
671564
UNITED HEALTH CARE
MO
Enumeration date
01/13/2007
Last updated
06/25/2019
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