Bohannon, Amber

Bohannon, Amber is an individual health care provider with primary practice located at 19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Eye and Vision Services Providers / Technician/Technologist. Eye and Vision Services Providers / Technician/Technologist is her primary health care specialty. Bohannon, Amber can be contacted via phone (313) 343-1370.

Contact Information

Primary practice address
19251 Mack Ave Ste M450 Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-1370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1942602180
LBN Legal business name Bohannon, Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Jul 12th, 2022 - about 2 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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