Provider Demographics
NPI:1538686530
Name:BOS, ANTHONY
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:BOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7562 S UNIVERSITY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3160
Mailing Address - Country:US
Mailing Address - Phone:303-779-7933
Mailing Address - Fax:303-779-4691
Practice Address - Street 1:6155 S MAIN ST STE 285
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5364
Practice Address - Country:US
Practice Address - Phone:303-617-7199
Practice Address - Fax:303-617-7437
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor