Healthcare Provider Details

I. General information

NPI: 1295020725
Provider Name (Legal Business Name): MICHAEL BOHRNSEN DC, DACBSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 N NORTHSIGHT BLVD STE 209
SCOTTSDALE AZ
85260-3676
US

IV. Provider business mailing address

14300 N NORTHSIGHT BLVD STE 209
SCOTTSDALE AZ
85260-3676
US

V. Phone/Fax

Practice location:
  • Phone: 480-630-9295
  • Fax:
Mailing address:
  • Phone: 480-630-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32130
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number9482
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH 60485899
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: