Bohman, Bruce
Bohman, Bruce is an individual health care provider with primary practice located at 400 Hickory St Nw Ste 303 , Albany OR 97321-1700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bohman, Bruce can be contacted via phone (541) 812-5275.Contact Information
Primary practice address
400 Hickory St Nw Ste 303
Albany OR 97321-1700
Phone: (541) 812-5275
Fax: (541) 812-5276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD11218 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD11218 | Oregon |
Profile Details
| NPI number | 1437112919 |
|---|---|
| LBN Legal business name | Bohman, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Mar 11th, 2013 - about 11 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 | 1437112919 | NPPES |
| Other | 0189507 | WASHINGTON LABOR & INDUST | |
| MEDICAID | 268748 | WASHINGTON LABOR & INDUST | |
| MEDICAID | 8351769 | WASHINGTON LABOR & INDUST | |
| Other | C94267 | WASHINGTON LABOR & INDUST | |
| Other | C94267 | WASHINGTON LABOR & INDUST | |
| Other | 059297000 | WASHINGTON LABOR & INDUST | |
| Other | 010051611 | WASHINGTON LABOR & INDUST | |
| Other | JT4011 | WASHINGTON LABOR & INDUST | |
| Other | XPY185424 | WASHINGTON LABOR & INDUST |
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