Bohan, Anthony

Bohan, Anthony is an sole proprietor health care provider with primary practice located at 320 Superior Ave #340, Newport Beach CA 92663-2716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bohan, Anthony can be contacted via phone (949) 645-7172.

Contact Information

Primary practice address
320 Superior Ave #340 Newport Beach CA 92663-2716
Fax: (949) 642-7585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A23845 California

Profile Details

NPI number 1235131384
LBN Legal business name Bohan, Anthony
Credentials MD JD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Sep 10th, 2013 - about 12 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 1235131384 NPPES
California Other 000002688 MEDICARE EMC
California MEDICAID 00A238450 MEDICARE EMC

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