Provider Demographics
NPI:1457854473
Name:MATHIAS, BO CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:BO
Middle Name:CHRISTOPHER
Last Name:MATHIAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8902
Mailing Address - Country:US
Mailing Address - Phone:614-881-2535
Mailing Address - Fax:
Practice Address - Street 1:6025 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-8902
Practice Address - Country:US
Practice Address - Phone:614-881-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor