Provider Demographics
NPI:1356559843
Name:BOSHELL FAMILY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:BOSHELL FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BOSHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-387-2006
Mailing Address - Street 1:84 HWY. 195
Mailing Address - Street 2:STE. B
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35503
Mailing Address - Country:US
Mailing Address - Phone:205-387-2006
Mailing Address - Fax:
Practice Address - Street 1:84 HWY. 195
Practice Address - Street 2:STE. B
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503
Practice Address - Country:US
Practice Address - Phone:205-387-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU98704Medicare UPIN