Dr Kenneth Frank Boscher, DC | |
2365 Wall St Se Ste 120, Conyers, GA 30013-2197 | |
(770) 922-8187 | |
(770) 922-9107 |
Full Name | Dr Kenneth Frank Boscher |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 31 Years |
Location | 2365 Wall St Se Ste 120, Conyers, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558425348 | NPI | - | NPPES |
1194100370 | Other | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR005124 (Georgia) | Primary |
Provider Name | Boscher Enterprises Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194100370 PECOS PAC ID: 9739471921 Enrollment ID: O20160708000438 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Frank Boscher, DC 2365 Wall St Se, Suite 120, Conyers, GA 30013-2197 Ph: (770) 922-8187 | Dr Kenneth Frank Boscher, DC 2365 Wall St Se Ste 120, Conyers, GA 30013-2197 Ph: (770) 922-8187 |
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