Bohnke, Kathleen D.
Bohnke, Kathleen D. is an individual health care provider with primary practice located at 11123 Parkview Plaza Dr Suite 106, Fort Wayne IN 46845-1707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bohnke, Kathleen D. can be contacted via phone (260) 672-6550.Contact Information
Primary practice address
11123 Parkview Plaza Dr Suite 106
Fort Wayne IN 46845-1707
Phone: (260) 672-6550
Fax: (260) 672-6559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01049000A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01049000A | Indiana |
Profile Details
| NPI number | 1801870639 |
|---|---|
| LBN Legal business name | Bohnke, Kathleen D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Nov 15th, 2022 - about 4 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 | 1801870639 | NPPES |
| Other | 00002092719 02 | UNITED HEALTHCARE | |
| Other | 3937240024 | UNITED HEALTHCARE | |
| Other | 7762243 | UNITED HEALTHCARE | |
| MEDICAID | 200342340 | UNITED HEALTHCARE | |
| Other | 12182 | UNITED HEALTHCARE | |
| Other | 3937240021 | UNITED HEALTHCARE | |
| Other | 000000200308 | UNITED HEALTHCARE |
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