Bohannan, Donna M

Bohannan, Donna M is an individual health care provider with primary practice located at 4567 E 9Th Ave , Denver CO 80220-3908. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bohannan, Donna M can be contacted via phone (303) 320-2818.

Contact Information

Primary practice address
4567 E 9Th Ave Denver CO 80220-3908
Phone: (303) 320-2818
Fax: (303) 320-7117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5152 Colorado

Profile Details

NPI number 1215918982
LBN Legal business name Bohannan, Donna M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 21st, 2008 - about 18 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 1215918982 NPPES
Colorado Other 86723251 MEDICAID PRACTICE GROUP #
Colorado Other 066615 MEDICAID PRACTICE GROUP #
Colorado MEDICAID 50272357 MEDICAID PRACTICE GROUP #

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