Healthcare Provider Details
I. General information
NPI: 1811404262
Provider Name (Legal Business Name): CLAIRE NOEL BOEHMER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/08/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 S 50TH ST STE 100
WEST DES MOINES IA
50265-5382
US
IV. Provider business mailing address
800 S 50TH ST STE 100
WEST DES MOINES IA
50265-5382
US
V. Phone/Fax
- Phone: 515-987-7871
- Fax:
- Phone: 515-987-7871
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 089747 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: