Basic Information
| Provider Information | |||||||||
| NPI: | 1225333289 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BOYER CHIROPRACTIC INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 144 S 8TH ST STE 111 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172012752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172646511 | ||||||||
| FaxNumber: | 7172641081 | ||||||||
| Practice Location | |||||||||
| Address1: | 144 S 8TH ST STE 111 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172012752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172646511 | ||||||||
| FaxNumber: | 7172641081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/21/2011 | ||||||||
| LastUpdateDate: | 01/21/2011 | ||||||||
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| AuthorizedOfficialLastName: | BOYER | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | EUGENE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7172646511 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.C. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.