1790723583 NPI number — DR. CHRISTOPHER M BOSLER D.C.

Table of content: DR. CHRISTOPHER M BOSLER D.C. (NPI 1790723583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790723583 NPI number — DR. CHRISTOPHER M BOSLER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOSLER
Provider First Name:
CHRISTOPHER
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790723583
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 580
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONEY BROOK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19344-0580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-273-7400
Provider Business Mailing Address Fax Number:
610-273-7013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2549 CONESTOGA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONEY BROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19344-1053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-273-7400
Provider Business Practice Location Address Fax Number:
610-273-7013
Provider Enumeration Date:
06/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC005845L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 22675 . This is a "MASTERCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 518718 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 851408 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: G48-127 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 232610307 . This is a "P.H.C." identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 611119600 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 350037260 . This is a "METRACARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50001681 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0472540000 . This is a "PERSONAL CHOICE/KEYSTONE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 10923453 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 365103 . This is a "PHCS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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