Bohman, Verle Duane

Bohman, Verle Duane is an individual health care provider with primary practice located at 630 E 1400 N Suite 100B, Logan UT 84341-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bohman, Verle Duane can be contacted via phone (435) 787-0270.

Contact Information

Primary practice address
630 E 1400 N Suite 100B Logan UT 84341-2534
Fax: (435) 787-0262
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 168173-1205 Utah

Profile Details

NPI number 1336105360
LBN Legal business name Bohman, Verle Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336105360 NPPES
Idaho MEDICAID 003582300

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