Organization
THADDEUS C. BOSMAN, D.C., INC.
Active
Other names
twinsburg Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS C. BOSMAN D.C. (PRESIDENT)
(330) 425-2101
Entity
Organization
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
1174
OH
Other
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
Enumeration date
09/28/2010
Last updated
09/28/2010
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