Bohm, Kenneth H
Bohm, Kenneth H is an sole proprietor health care provider with primary practice located at 8515 Delmar Blvd Suite 220, Saint Louis MO 63124-2168. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bohm, Kenneth H can be contacted via phone (314) 567-1044.Contact Information
Primary practice address
8515 Delmar Blvd Suite 220
Saint Louis MO 63124-2168
Phone: (314) 567-1044
Fax: (314) 567-1060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 00017 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 00017 | Missouri |
Profile Details
| NPI number | 1831296649 |
|---|---|
| LBN Legal business name | Bohm, Kenneth H |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1831296649 | NPPES |
| Other | 339528 | BJC BEHAVIORAL HEALTH |
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