Bohan, Michael Edward

Bohan, Michael Edward is an sole proprietor health care provider with primary practice located at 4509 Whitechapel Dr , Virginia Beach VA 23455-6447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Bohan, Michael Edward can be contacted via phone (757) 460-4655.

Contact Information

Primary practice address
4509 Whitechapel Dr Virginia Beach VA 23455-6447
Phone: (757) 460-4655
Fax: (757) 460-7744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0101034746 Virginia

Profile Details

NPI number 1326058983
LBN Legal business name Bohan, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jan 24th, 2019 - about 7 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 1326058983 NPPES
Virginia MEDICAID 006015255

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