Provider Demographics
NPI:1710071550
Name:BOYSEN, JAMES CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:BOYSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 S WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMANCHE
Mailing Address - State:IA
Mailing Address - Zip Code:52730-1713
Mailing Address - Country:US
Mailing Address - Phone:563-259-9411
Mailing Address - Fax:
Practice Address - Street 1:1732 S WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CAMANCHE
Practice Address - State:IA
Practice Address - Zip Code:52730-1713
Practice Address - Country:US
Practice Address - Phone:563-259-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO5923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1449686Medicaid
IA216156OtherIOWA HEALTH SOLUTONS
IA52781OtherWELLMARK
IA249088OtherMIDLAND'S CHOICE
IA52781OtherWELLMARK