Doctor Name: | DR. ALEXANDER NICHOLAS BOHATIUK |
NPI Number: | 1164544896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC003923L |
Business Practice Address: | 811 Governors Place Bear, DE - 19701 |
Business Phone Number: | 3028368361 |
Business Fax Number: | 3028368163 |
Mailing Address: | 811 Governors Place, BEAR |
State: | DE |
Postal Code: | 19701 |
Phone Number: | 3028368361 |
Fax Number: | 3028368163 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC003923L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |