Bohannon, Mimzy Vanessa

Bohannon, Mimzy Vanessa is an sole proprietor health care provider with primary practice located at 1540 Trinity Pl , Mishawaka IN 46545-5006. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bohannon, Mimzy Vanessa can be contacted via phone (574) 272-9000.

Contact Information

Primary practice address
1540 Trinity Pl Mishawaka IN 46545-5006
Phone: (574) 272-9000
Fax: (574) 272-9298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27067174A Indiana

Profile Details

NPI number 1912692807
LBN Legal business name Bohannon, Mimzy Vanessa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2023
Last updated Apr 7th, 2023 - about last year

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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