Bohac, Beverly J
Bohac, Beverly J is an individual health care provider with primary practice located at 707 Ash Street , Spooner WI 54801-1903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bohac, Beverly J can be contacted via phone (715) 635-2151.Contact Information
Primary practice address
707 Ash Street
Spooner WI 54801-1903
Phone: (715) 635-2151
Fax: (715) 839-5176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25128 | Wisconsin |
Profile Details
| NPI number | 1477599074 |
|---|---|
| LBN Legal business name | Bohac, Beverly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 28th, 2017 - about 9 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 | 1477599074 | NPPES |
| Wisconsin | MEDICAID | 30518600 |
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