Bohnke, Jamie R

Bohnke, Jamie R is an individual health care provider with primary practice located at 1614 25Th St , Bedford IN 47421-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bohnke, Jamie R can be contacted via phone (812) 277-0118.

Contact Information

Primary practice address
1614 25Th St Bedford IN 47421-5000
Phone: (812) 277-0118
Fax: (812) 277-0127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71004476A Indiana

Profile Details

NPI number 1023457637
LBN Legal business name Bohnke, Jamie R
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2013
Last updated Dec 2nd, 2020 - about 5 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 1023457637 NPPES
Indiana MEDICAID 201167860

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