Individual provider · NPI-1
Dr. Alicyn Marie Boehmer, D.C.
Chiropractor · Columbia, MO
NPI number1851442339
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1851442339
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alicyn Marie Boehmer
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2007
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2005003663 | MO | Yes |
Practice location
1608 Chapel Hill Rd Ste DColumbia, MO 65203-5464
Phone 573-445-4000 · Fax 573-447-3336
Mailing address
2216 Forum BlvdSte 102
Columbia, MO 65203-5409
Phone 573-445-4000 · Fax 573-447-3336
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