Bohannon, Sean Brian

Bohannon, Sean Brian is an individual health care provider with primary practice located at 203 Vaughan Memorial Dr , Selma AL 36701-6950. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bohannon, Sean Brian can be contacted via phone (334) 375-8007.

Contact Information

Primary practice address
203 Vaughan Memorial Dr Selma AL 36701-6950
Phone: (334) 375-8007
Fax: (334) 526-1849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.30834 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.30834 Alabama

Profile Details

NPI number 1881851491
LBN Legal business name Bohannon, Sean Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881851491 NPPES
Alabama MEDICAID 129899

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