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NPI Code Detail

MEDICARE: DR. TROY A BOSCHEE D.C., C.C.S.P.

MEDICARE: DR. TROY A BOSCHEE D.C., C.C.S.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor3458MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205913274
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TROY A BOSCHEE D.C., C.C.S.P.
Provider Business Mailing Address
First Line : 8351 CARRIAGE HILL ALCOVE
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2340
Country : US
Telephone Number : 952-445-3608
Fax Number : 952-888-7563
Provider Business Practice Location Address
First Line : 10700 NORMANDALE BLVD
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-2700
Country : US
Telephone Number : 952-888-5805
Fax Number : 952-888-7563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/08/2007

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