Individual
DR. THADDEUS C BOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8984 DARROW RD, TWINSBURG, OH 44087-2186
(330) 425-2101
(330) 963-0478
Mailing address
8984 DARROW RD, TWINSBURG, OH 44087-2186
(330) 425-2101
(330) 963-0478
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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