Individual
DR. ALEXANDER NICHOLAS BOHATIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
811 GOVERNORS PLACE, BEAR, DE 19701
(302) 836-8361
(302) 836-8163
Mailing address
811 GOVERNORS PLACE, BEAR, DE 19701
(302) 836-8361
(302) 836-8163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC003923L
PA
111N00000X
Chiropractor
Primary
F10000281
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0385484000
KEYSTONE
—
01
—
4370293
AETNA
—
01
—
564171
BLUE CROSS
—
Enumeration date
04/04/2007
Last updated
09/30/2013
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