# THADDEUS C. BOSMAN, D.C., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** twinsburg Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396054201
- **Authorized official:** DR. THADDEUS C. BOSMAN D.C. (PRESIDENT)
- **Authorized official phone:** (330) 425-2101

## Contact information

- **Practice address:** 8984 DARROW RD, TWINSBURG, OH 44087-2186
- **Practice address phone:** (330) 425-2101
- **Practice address fax:** (330) 963-0478
- **Mailing address:** 8984 DARROW RD, TWINSBURG, OH 44087-2186
- **Mailing address phone:** (330) 425-2101
- **Mailing address fax:** (330) 963-0478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1174 | OH | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000136035 | ANTHEM PIN NUMBER | OH |
| 05 | — | 0655643 | — | OH |
| 01 | — | 362823184002 | MEDICAL MUTUAL PIN NUMBER | OH |
| 01 | — | P00319931 | RAILROAD MEDICARE PIN | OH |