Boesch, Ronnie J.

Boesch, Ronnie J. is an individual health care provider with primary practice located at 1000 Brady St , Davenport IA 52803-5214. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is his primary health care specialty. Boesch, Ronnie J. can be contacted via phone (563) 884-5801.

Contact Information

Primary practice address
1000 Brady St Davenport IA 52803-5214
Phone: (563) 884-5801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2709 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 1188 Tennessee
Chiropractic Providers / Chiropractor 111N00000X AO5801 Iowa
Chiropractic Providers / Neurology 111NN0400X 1999140067 Missouri
Chiropractic Providers / Neurology 111NN0400X 38009511 Illinois

Profile Details

NPI number 1417958836
LBN Legal business name Boesch, Ronnie J.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958836 NPPES
Iowa Other 07860 BLUE CROSS BLUE SHIELD

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