National Provider Identifier
Charles Richard Boehly, D.C.
Charles Richard Boehly, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Rochester, NY and a listed phone number of (585) 271-5590.
Profile Overview
- NPI
- 1366407470
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 20, 2006
- Last Updated
- October 13, 2023
Practice Location
- 779 University Ave
- Rochester, NY 14607-1226
Phone: (585) 271-5590
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1366407470
- Entity Type
- Individual
- Last Name
- Boehly
- First Name
- Charles
- Middle Name
- Richard
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 779 University Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1226
- Mailing Country
- US
- Mailing Phone
- (585) 271-5590
- Mailing Fax
- (585) 271-5593
- Practice Street Address
- 779 University Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1226
- Practice Country
- US
- Practice Phone
- (585) 271-5590
- Practice Fax
- (585) 271-5593
- Enumeration Date
- April 20, 2006
- Last Updated
- October 13, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- P0100009295 (NY, Excellus BCBS)