Boshoff Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3869-012 Issued in WI

Legal business name

BOSHOFF CHIROPRACTIC CLINIC, LLC

Practice address

8812 W North Ave
Wauwatosa, WI 53226-2726

Phone

(414) 774-2300

Fax

(414) 774-0341

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynette Boshoff, D.C.NPI 1023068749

Title

Owner

Phone

(414) 617-0909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynette Boshoff, D.C.

  • Chiropractor
  • Elm Grove, WI
  • NPI 1023068749
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356377519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 REVERE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664421",
            "telephone_number": "414-617-0909",
            "fax_number": "414-774-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262726",
            "telephone_number": "414-774-2300",
            "fax_number": "414-774-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSHOFF CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSHOFF",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-617-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3869-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Catharine Bonnett, M.S.
• Cortnee Booth, PHARMD
• Sabina Borgen
• Mahasweta Bose, PHD, LP
• Raison Sujai Bose, DDS
• Brianna Bourget
• Liana W Bowen, LPC
• Delaney Maureen Bowling, NP
• Katherine J Bowman, BCBA
• Melissa Ann Bowman

• Chiropractor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.