Bohlmann, Suzanne Bagin

Bohlmann, Suzanne Bagin is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bohlmann, Suzanne Bagin can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2603
Phone: (207) 828-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2058 Maine
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2058 Maine

Profile Details

NPI number 1881852150
LBN Legal business name Bohlmann, Suzanne Bagin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated Feb 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881852150 NPPES
Maine MEDICAID 1881852150

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