Bohnn, Cress Roy

Bohnn, Cress Roy is an individual health care provider with primary practice located at 1665 Bonanza Dr , Park City UT 84060-5127. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bohnn, Cress Roy can be contacted via phone (435) 649-7640.

Contact Information

Primary practice address
1665 Bonanza Dr Park City UT 84060-5127
Phone: (435) 649-7640
Fax: (435) 649-1365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 174030-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 174030-1205 Utah

Profile Details

NPI number 1861423113
LBN Legal business name Bohnn, Cress Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 4th, 2012 - about 12 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 1861423113 NPPES
Utah MEDICAID D0010

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