Bohn, Gregory A

Bohn, Gregory A is an individual health care provider with primary practice located at 295 Maple St Ste 200 , Tawas City MI 48763-9352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bohn, Gregory A can be contacted via phone (989) 984-3788.

Contact Information

Primary practice address
295 Maple St Ste 200 Tawas City MI 48763-9352
Phone: (989) 984-3788
Fax: (989) 984-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036089196 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 29059 Iowa

Profile Details

NPI number 1174597702
LBN Legal business name Bohn, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 21st, 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 1174597702 NPPES
Other 38079 BCWELLMARK
Other IA01X1 BCWELLMARK
MEDICAID 3091884 BCWELLMARK
MEDICAID 1174597702 BCWELLMARK

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