Chris Peter Boosalis
Prosthetist
6600 France Ave S Suite 162
Edina
, Minnesota 55435-1805
Chris Peter Boosalis
Prosthetist
6600 France Ave S Suite 162
Edina
, Minnesota 55435-1805
(952) 512-5650
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Chris Peter Boosalis
- 4200 Dahlberg Dr Suite 300
- Golden Valley, MN
- Zip : 55422-4840
- Fax : (952) 512-5650
- Phone : (952) 512-5600
Second Address
- Chris Peter Boosalis
- 6600 France Ave S Suite 162
- Edina, MN
- Zip : 55435-1805
- Fax : (952) 929-9641
- Phone : (952) 929-1051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1013017813 |
|---|---|
| Provider Name | Chris Peter Boosalis |
| First Address | Golden Valley, MN 55422-4840 |
| Second Address | Edina, MN 55435-1805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 05/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.