Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001007358 Issued in MO

Legal business name

FAMILY CHIROPRACTIC, P.C.

Practice address

611 Highway 50 W
Union, MO 63084-1939

Phone

(636) 584-7900

Fax

(636) 583-8897

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alicia Bolzenius, D.C.NPI 1548368947

Title

President

Phone

(636) 584-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia S. Bolzenius, DC

  • Chiropractor
  • Union, MO
  • NPI 1548368947
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1407049893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 50 W",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841939",
            "telephone_number": "636-584-7900",
            "fax_number": "636-583-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 50 W",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841939",
            "telephone_number": "636-584-7900",
            "fax_number": "636-583-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BOLZENIUS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-584-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001007358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Scott Ellefson, DC
• Margaret Anne Ellett, APRN
• Everything Respiratory
• Trisha Lynnette Ezell, RN
• Brian James Falls, LPC
• Gretchen Elizabeth Farmer, MD
• Kimberly Farris-Wilson, LPC
• Emily Elizabeth Feldmann, LCSW
• Kristi Soash Fernando, D.D.S.
• Katie Nicole Fichter, M.S.

• Chiropractor in Union, MO
• Providers in Union, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.