Bohannon, Gary

Bohannon, Gary is an individual health care provider with primary practice located at 2024 S 6Th St , Brainerd MN 56401-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bohannon, Gary can be contacted via phone (218) 825-7100.

Contact Information

Primary practice address
2024 S 6Th St Brainerd MN 56401-4529
Phone: (218) 825-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24755 Minnesota

Profile Details

NPI number 1467430603
LBN Legal business name Bohannon, Gary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 25th, 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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