Provider Demographics
NPI:1194100370
Name:BOSCHER ENTERPRISES INC
Entity type:Organization
Organization Name:BOSCHER ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:BOSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-922-8187
Mailing Address - Street 1:2365 WALL ST. SUITE 120
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2197
Mailing Address - Country:US
Mailing Address - Phone:770-922-8187
Mailing Address - Fax:770-922-9107
Practice Address - Street 1:2365 WALL ST. SUITE 120
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2197
Practice Address - Country:US
Practice Address - Phone:770-922-8187
Practice Address - Fax:770-922-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty