Bohl, Jamison Wade

Bohl, Jamison Wade is an individual health care provider with primary practice located at 4901 Thompson Pkwy , Johnstown CO 80534-6426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bohl, Jamison Wade can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
4901 Thompson Pkwy Johnstown CO 80534-6426
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A86826 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51010 Colorado

Profile Details

NPI number 1508849282
LBN Legal business name Bohl, Jamison Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jun 11th, 2021 - about 5 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 1508849282 NPPES
Colorado Other 022682 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 28028872 KAISER COMMERCIAL NUMBER

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