National Provider Identifier
Boehly Chiropractic, PLLC
Boehly Chiropractic, PLLC 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
- 1467675207
- Provider Type
- Organization
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 10, 2007
- Last Updated
- November 16, 2025
Practice Location
- 779 University Ave
- Rochester, NY 14607-1226
Phone: (585) 271-5590
Mailing Address
- 779 University Ave
- Rochester, NY 14607-1375
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1467675207
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Boehly Chiropractic, PLLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 779 University Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1375
- 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 10, 2007
- Last Updated
- November 16, 2025
- Authorized Official Last Name
- Boehly
- Authorized Official First Name
- Charles
- Authorized Official Middle Name
- Richard
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 271-5590
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DC
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- G0188558590 (NY, Excellus BCBS Group Id #)