Tyson R Bohl, D.C.
Individual provider Active NPI Chiropractor · Camden, DE
NPI 1487786273 · NPPES record last updated Mar 20, 2015
Key facts
- NPI
- 1487786273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- F1-0000600 (DE)
- Practice address
- 120 Old Camden Rd
Suite C
Camden, DE 19934-5523 - Phone
- (302) 531-1900
- Fax
- (302) 531-1901
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dover Family Chiropractic
Practice addresses (Care Compare)
120 Old Camden Rd
Suite C
Camden, DE 19934-5501
Phone (302) 531-1900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050325000584 | DE | Practitioner - Chiropractic | 9436042496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5477 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Family Chiropractic | Chiropractor | Current |
Accepting new patients |
Locations
120 Old Camden Rd
Ste C
Camden, DE 19934
Phone (302) 531-1900
820 Walker Rd
Ste A
Dover, DE 19904
Phone (302) 677-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F1-0000600 | DE | Yes |
Addresses
Primary practice location
120 Old Camden Rd
Suite C
Camden, DE 19934-5523
Mailing address
120 Old Camden Rd
Suite C
Camden, DE 19934-5523
Phone (302) 531-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510340396 | Other | DE | BLUE CROSS BLUE SHIELD |
| 510411125 | Other | DE | COVENTRY, PIP, OTHER |
Other providers in Camden, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2015. 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.