Bohjanen, Eric Jack-Mun
Bohjanen, Eric Jack-Mun is an sole proprietor health care provider with primary practice located at 2106 London Rd , Duluth MN 55812-2127. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bohjanen, Eric Jack-Mun can be contacted via phone (218) 522-4645.Contact Information
Primary practice address
2106 London Rd
Duluth MN 55812-2127
Phone: (218) 522-4645
Fax: (218) 481-7811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 3420 | Minnesota |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 3420 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3420 | Minnesota |
Profile Details
| NPI number | 1477512697 |
|---|---|
| LBN Legal business name | Bohjanen, Eric Jack-Mun |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477512697 | NPPES |
| Minnesota | MEDICAID | 1477512697 | |
| Minnesota | Other | H400321094 |
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