Bohac, Melissa Anlie

Bohac, Melissa Anlie is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bohac, Melissa Anlie can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-2033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004188-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA001408L Pennsylvania

Profile Details

NPI number 1740259373
LBN Legal business name Bohac, Melissa Anlie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740259373 NPPES
Pennsylvania Other GU039880 MEDICARE GROUP
Pennsylvania Other 970014969 MEDICARE GROUP
Pennsylvania MEDICAID 01282104 MEDICARE GROUP
Pennsylvania Other CC9269 MEDICARE GROUP

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