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BOLINE FENSTRA CHIROPRACTIC PC
NPI 1003075615
Chiropractor in Willmar, MN

Active since June 09, 2008
1101 1ST ST S, WILLMAR, MN 56201(320) 235-0515 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boline Fenstra Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLINE FENSTRA CHIROPRACTIC PC (NPI 1003075615) is a healthcare organization registered as a chiropractor in Willmar, Minnesota and active in the NPI registry since June 2008. The organization lists Kendall A Boline Fenstra, Owner, as its authorized official.

NPPES Registry Identity

NPI1003075615
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBOLINE FENSTRA CHIROPRACTIC PC
Location Address1101 1ST ST SWillmar, MN 56201-3592
Mailing Address1101 1st St SWillmar, MN 56201-3592 · (320) 235-0515
Phone(320) 235-0515
Organization SubpartNo
Authorized OfficialKendall A Boline FenstraOwner · (320) 235-0515
Enumeration DateJune 9, 2008
Last NPPES UpdateJune 19, 2015
✔ NPI 1003075615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3122
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1101 1ST ST S, Willmar, MN 56201
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Other Names 1

Doing Business AsBoline Fenstra Chiropractic Pc

Other Identifiers 2

Medicare UPINC07239MN
Medicaid900022400MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boline Fenstra Chiropractic PC's NPI number?

The NPI number for Boline Fenstra Chiropractic PC is 1003075615. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Boline Fenstra Chiropractic PC located?

Boline Fenstra Chiropractic PC is located at 1101 1st St S, Willmar, MN 56201. The listed phone number is (320) 235-0515.

What is Boline Fenstra Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Boline Fenstra Chiropractic PC was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.