Bohler Family Practice Pc

LBN: Bohler Family Practice Pc
Bohler Family Practice Pc is an health care organization with primary practice located at 128 North Parker Ave , Brooklet GA 30415. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Bohler Family Practice Pc can be contacted via phone (912) 842-2101, or through Bohlke, William Scott via phone (912) 842-2101.

Contact Information

Primary practice address
128 North Parker Ave Brooklet GA 30415
Phone: (912) 842-2101
Fax: (921) 842-2103
Website:
Map and Directions
Authorized official contact:
Name: Bohlke, William Scott Doctor of Medicine (MD)
Phone: (912) 842-2101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1811049679
LBN Legal business name Bohler Family Practice Pc
DBA Doing business as
Authorized official Bohlke, William Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jan 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811049679 NPPES
Georgia MEDICAID 085002953G
Georgia MEDICAID 00593557D
Georgia MEDICAID 648007516A

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