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Individual
DR. THADDEUS C BOSMAN
Active
Individual
DR. THADDEUS C BOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1174
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136035
ANTHEM PIN NUMBER
OH
05
—
0655643
—
OH
01
—
341657278
COMMERCIAL INSURANCE PIN
OH
01
—
34165727800
WORKERS' COMPENSATION PIN
OH
01
—
P00319931
RAILROAD MEDICARE PIN
OH
Enumeration date
01/18/2007
Last updated
07/09/2007
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