Valley West Chiropractic Clinic | |
10700 Normandale Blvd Bloomington MN 55437-2700 | |
(952) 888-5805 | |
(952) 888-7563 |
Full Name | Valley West Chiropractic Clinic |
---|---|
Speciality | Clinic/Center |
Location | 10700 Normandale Blvd, Bloomington, Minnesota |
Authorized Official Name and Position | Troy Allen Boschee (OWNER) |
Authorized Official Contact | 9528885805 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valley West Chiropractic Clinic 12300 Singletree Lane Eden Prairie MN 55344 Ph: (952) 888-5805 | Valley West Chiropractic Clinic 10700 Normandale Blvd Bloomington MN 55437-2700 Ph: (952) 888-5805 |
NPI Number | 1619168200 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 04/12/2017 |
Medicare PECOS PAC ID | 2062504657 |
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Medicare Enrollment ID | O20070828000262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619168200 | NPI | - | NPPES |
1205913274 | Other | NPI | |
266219100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 003458 (Minnesota) | Primary |
Provider Name | Troy A Boschee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205913274 PECOS PAC ID: 6608968284 Enrollment ID: I20070828000241 |
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