Organization
BOSMAN CHIROPRACTIC LIFE CENTER, P.C.
Active
Other names
Bosman Chiropractic Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY JOSEPH BOSMAN D.C. (PRESIDENT)
(248) 253-1700
Entity
Organization
Contact information
Practice address
709 S OPDYKE RD, AUBURN HILLS, MI 48326-3436
(248) 253-1700
(248) 253-1707
Mailing address
709 S OPDYKE RD, AUBURN HILLS, MI 48326-3436
(248) 253-1700
(248) 253-1707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34187
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
MI
01
—
0F35426
BCBS PROVIDER ID NUMBER
MI
05
—
4375884
—
MI
Enumeration date
05/19/2006
Last updated
09/10/2012
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