Provider Demographics
NPI:1790723583
Name:BOSLER, CHRISTOPHER M (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:BOSLER
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:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-0580
Mailing Address - Country:US
Mailing Address - Phone:610-273-7400
Mailing Address - Fax:610-273-7013
Practice Address - Street 1:2549 CONESTOGA AVE
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-1053
Practice Address - Country:US
Practice Address - Phone:610-273-7400
Practice Address - Fax:610-273-7013
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005845L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22675OtherMASTERCARE
PA518718OtherHIGHMARK
PA851408OtherAETNA
PAG48-127OtherAMERIHEALTH
PA232610307OtherP.H.C.
PA611119600OtherUS DEPT OF LABOR
PA350037260OtherMETRACARE
PA50001681OtherCAPITAL BLUE CROSS
PA0472540000OtherPERSONAL CHOICE/KEYSTONE
PA10923453OtherCIGNA
PA365103OtherPHCS
PA10923453OtherCIGNA
PA851408OtherAETNA