Bohanon, Fredrick James

Bohanon, Fredrick James is an individual health care provider with primary practice located at 4801 Mchugh Rd Ste C , Zachary LA 70791-5364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bohanon, Fredrick James can be contacted via phone (225) 570-2489.

Contact Information

Primary practice address
4801 Mchugh Rd Ste C Zachary LA 70791-5364
Phone: (225) 570-2489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP1-0040982 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X Q1573 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 312263 Louisiana

Profile Details

NPI number 1447543236
LBN Legal business name Bohanon, Fredrick James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Oct 24th, 2023 - about 3 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 1447543236 NPPES
Texas Other BP1-0040982 TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT
Texas MEDICAID 2505696 TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT
Texas Other 6B4259 TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT
Texas Other 14457559 TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT

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