Bohannon, Earlene

Bohannon, Earlene is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bohannon, Earlene can be contacted via phone (336) 768-7200.

Contact Information

Primary practice address
725 Highland Ave Winston Salem NC 27101-4206
Fax: (336) 768-7200
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 122684 North Carolina

Profile Details

NPI number 1003971821
LBN Legal business name Bohannon, Earlene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jun 3rd, 2010 - about 15 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 1003971821 NPPES
North Carolina Other 122684 RN

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