Bohan, Michael Edward
Bohan, Michael Edward is an sole proprietor health care provider with primary practice located at 4509 Whitechapel Dr , Virginia Beach VA 23455-6447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Bohan, Michael Edward can be contacted via phone (757) 460-4655.Contact Information
Primary practice address
4509 Whitechapel Dr
Virginia Beach VA 23455-6447
Phone: (757) 460-4655
Fax: (757) 460-7744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101034746 | Virginia |
Profile Details
| NPI number | 1326058983 |
|---|---|
| LBN Legal business name | Bohan, Michael Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jan 24th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326058983 | NPPES |
| Virginia | MEDICAID | 006015255 |
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