Organization Active NPI

Michael W Bohrnsen LLC

  • Sports Physician Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1619346889
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH60485899 Issued in WA
Legal business name
MICHAEL W BOHRNSEN LLC
Practice address
15312 E Sprague Ave # 23
Spokane Valley, WA 99037-8861
Phone
(509) 828-0538
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Michael Bohrnsen, DC
Title
Owner
Phone
(509) 828-0538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH60485899 WA Primary

Addresses

Primary practice location

15312 E Sprague Ave # 23
Spokane Valley, WA 99037-8861

Mailing address

15312 E Sprague Ave # 23
Spokane Valley, WA 99037-8861
Phone (509) 828-0538

National Provider Directory

National Provider Directory

Locations

15312 E Sprague Ave
Ste 23
Spokane Valley, WA 99037
Phone (509) 828-0538

15312 E Sprague Ave
#23
Spokane Valley, WA 99037
Phone (509) 795-0277

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1619346889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 E SPRAGUE AVE # 23",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378861",
            "telephone_number": "509-828-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15312 E SPRAGUE AVE # 23",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378861",
            "telephone_number": "509-828-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W BOHRNSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "BOHRNSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-828-0538",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60485899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.