Provider Demographics
NPI:1124688130
Name:BOHR CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:BOHR CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-203-2413
Mailing Address - Street 1:10252 ROBIN AVE
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-8252
Mailing Address - Country:US
Mailing Address - Phone:563-203-0448
Mailing Address - Fax:
Practice Address - Street 1:112 CENTER ST
Practice Address - Street 2:
Practice Address - City:LIME SPRINGS
Practice Address - State:IA
Practice Address - Zip Code:52155-4700
Practice Address - Country:US
Practice Address - Phone:563-203-2413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty