# DR. THADDEUS C BOSMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215089107
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC1174 | OH | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 07/09/2007

## 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 |