Provider Demographics
NPI:1811404262
Name:BOEHMER, CLAIRE NOEL (DC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NOEL
Last Name:BOEHMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 SE ALICES RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-9646
Mailing Address - Country:US
Mailing Address - Phone:515-987-7871
Mailing Address - Fax:
Practice Address - Street 1:733 SE ALICES RD
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-9646
Practice Address - Country:US
Practice Address - Phone:515-987-7871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor