James Christopher Boysen, D.C.
Individual provider Active NPI Chiropractor · Camanche, IA
NPI 1710071550 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710071550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- AO5923 (IA)
- Practice address
- 1732 S Washington Blvd
Camanche, IA 52730-1713 - Phone
- (563) 259-9411
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO5923 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Chiropractic and Wellness | Chiropractor | Past |
Accepting new patients |
| H a Nelson Enterprises LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AO5923 | IA | Yes |
Addresses
Primary practice location
1732 S Washington Blvd
Camanche, IA 52730-1713
Mailing address
1732 S Washington Blvd
Camanche, IA 52730-1713
Phone (563) 259-9411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1449686 | Medicaid | IA | |
| 216156 | Other | IA | IOWA HEALTH SOLUTONS |
| 52781 | Other | IA | WELLMARK |
| 249088 | Other | IA | MIDLAND'S CHOICE |
Other providers in Camanche, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.