Bohannon, Earlene
Bohannon, Earlene is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bohannon, Earlene can be contacted via phone (336) 768-7200.Contact Information
Primary practice address
725 Highland Ave
Winston Salem NC 27101-4206
Phone: (336) 768-7200
Fax: (336) 768-7200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 122684 | North Carolina |
Profile Details
| NPI number | 1003971821 |
|---|---|
| LBN Legal business name | Bohannon, Earlene |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jun 3rd, 2010 - about 15 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 | 1003971821 | NPPES |
| North Carolina | Other | 122684 | RN |
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