Bohnenblust, Walter R.
Bohnenblust, Walter R. is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bohnenblust, Walter R. can be contacted via phone (484) 628-5455.Contact Information
Primary practice address
420 S 5Th Ave
West Reading PA 19611-2143
Phone: (484) 628-5455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD024282E | Pennsylvania |
Profile Details
| NPI number | 1053316968 |
|---|---|
| LBN Legal business name | Bohnenblust, Walter R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 27th, 2018 - about 6 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 | 1053316968 | NPPES |
| Pennsylvania | MEDICAID | 001680368 |
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