Patrick D Boline is a Chiropractor in Wadena, Minnesota. Patrick D Boline practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Patrick D Boline is 1164448650. The last update date is 2008-01-11.
Patrick D Boline's current location address is 11 Bryant Ave Sw, Wadena, Minnesota. You can contact this provider via phone number 2186313003. The mailing address for Patrick D Boline is 11 Bryant Ave Sw, Wadena, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick D Boline |
|---|---|
| Address | 11 Bryant Ave Sw, Wadena, Minnesota |
| Phone Number | 2186313003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1164448650 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 11 Bryant Ave Sw |
|---|---|
| City | Wadena |
| State | Minnesota (MN) |
| Post Code | 564821405 |
| Phone Number | 2186313003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2485 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HP21779 | MN | HEALTH PARTNERS | |
| 3C909BO | MN | BC/BS OF MINNESOTA | |
| 230981 | MN | CHIROCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Patrick D Boline?
The Patrick D Boline has been issued the NPI (National Provider Identifier) 1164448650 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Patrick D Boline is physically located?
The Patrick D Boline is physically situated at the following address: 11 Bryant Ave Sw, Wadena, MN, 564821405.
What is Patrick D Boline's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patrick D Boline is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Patrick D Boline receive its 1164448650 assignment from the Centers for Medicare & Medicaid Services?
The Patrick D Boline was assigned its 1164448650 on 2006-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Patrick D Boline's details last updated?
The information pertaining to the Patrick D Boline, including its address, specialty, and other details, was most recently updated on 2008-01-11.