Provider Demographics
NPI:1689859878
Name:DOUGLAS L. BOEHR, D.C., P.A.
Entity Type:Organization
Organization Name:DOUGLAS L. BOEHR, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:785-272-6325
Mailing Address - Street 1:4210 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3416
Mailing Address - Country:US
Mailing Address - Phone:785-272-6325
Mailing Address - Fax:
Practice Address - Street 1:4210 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3416
Practice Address - Country:US
Practice Address - Phone:785-272-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103518111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST71293KSOtherUPIN