Individual
DR. MATTHEW THOMAS BOSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
354 EAGLE VALLEY DRIVE, BEECH CREEK, PA 16822
(570) 962-3075
(570) 962-2573
Mailing address
PO BOX 495, BEECH CREEK, PA 16822
(570) 962-3075
(570) 962-2573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005777L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0862349
BLUE CROSS
PA
Enumeration date
12/15/2006
Last updated
05/23/2024
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