Bohacek, Linda Kay

Bohacek, Linda Kay is an sole proprietor health care provider with primary practice located at 720 2Nd Ave , Eau Claire WI 54703-5413. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bohacek, Linda Kay can be contacted via phone (715) 839-4718.

Contact Information

Primary practice address
720 2Nd Ave Eau Claire WI 54703-5413
Fax: (715) 839-1674
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4279-016 Wisconsin

Profile Details

NPI number 1679622484
LBN Legal business name Bohacek, Linda Kay
Credentials RDH, MA, CDHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 18 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 1679622484 NPPES
Wisconsin MEDICAID 33805400

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