Bohl, Daniel Leroy

Bohl, Daniel Leroy is an individual health care provider with primary practice located at 76 Campanelli Industrial Dr , Brockton MA 02301-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bohl, Daniel Leroy can be contacted via phone (508) 930-3062.

Contact Information

Primary practice address
76 Campanelli Industrial Dr Brockton MA 02301-1809
Phone: (508) 930-3062
Fax: (508) 587-0287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200202484 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 235028 Massachusetts

Profile Details

NPI number 1477579795
LBN Legal business name Bohl, Daniel Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 10th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477579795 NPPES
Other 202912 MO-BLUE SHIELD

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