Boles Chiropractic Centre, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3248 Issued in WI

Legal business name

BOLES CHIROPRACTIC CENTRE, LLC

Practice address

12201 W North Avenue
Ste 204
Wauwatosa, WI 53226-2061

Phone

(414) 476-0111

Fax

(414) 476-0832

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elena C Boles, D.C.

Title

Owner

Phone

(414) 476-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1801115027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 W NORTH AVE",
            "address_2": "STE 204",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262061",
            "telephone_number": "414-476-0111",
            "fax_number": "414-476-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 W NORTH AVENUE",
            "address_2": "STE 204",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262061",
            "telephone_number": "414-476-0111",
            "fax_number": "414-476-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLES CHIROPRACTIC CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-476-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952460396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Michael Bock, M.D.
• Paul Nathanael Boechler
• Nathan Boehmke, DPT
• Donald F Bogart, RPH
• Kara A Boghossian, RPH. PHARMD.
• Gouri Kalyani Bollepalli
• Diana Lynn Bolmes, LCSW, CSAC
• Julie Bomkamp
• Emily Rachel Rozin Bon, DO
• Benjamin Bondow, M.D.

• 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 Jun 2, 2010; 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.