Heidi L Boehm, D.C.
Individual provider Active NPI Chiropractor · Manistee, MI
NPI 1215912969 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1215912969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008908 (MI)
- Practice address
- 50 Filer St
Suite 216
Manistee, MI 49660-2726 - Phone
- (231) 723-2221
- Fax
- (231) 723-5078
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Filer St
Suite 216
Manistee, MI 49660-2787
Phone (231) 723-2221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050302000159 | MI | Practitioner - Chiropractic | 3577516517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heidi Boehm Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
50 Filer St
Ste 216
Manistee, MI 49660
Phone (231) 723-2221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008908 | MI | Yes |
Addresses
Primary practice location
50 Filer St
Suite 216
Manistee, MI 49660-2726
Mailing address
50 Filer St
Suite 216
Manistee, MI 49660-2726
Phone (231) 723-2221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950E110200 | Other | MI | BCBS OF MICHIGAN |
| 202052157 | Other | MI | TAX ID |
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.