Bohle, David J
Bohle, David J is an individual health care provider with primary practice located at 100 Johnson Ridge Medical Park , Elkin NC 28621-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bohle, David J can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
100 Johnson Ridge Medical Park
Elkin NC 28621-2400
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35270 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35270 | North Carolina |
Profile Details
| NPI number | 1710966718 |
|---|---|
| LBN Legal business name | Bohle, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710966718 | NPPES |
| North Carolina | Other | 16435 | BCBS ID# |
| North Carolina | MEDICAID | 8916435 | BCBS ID# |
| North Carolina | Other | 10533 | BCBS ID# |
| North Carolina | Other | 1285682310 | BCBS ID# |
| North Carolina | MEDICAID | 1710966718 | BCBS ID# |
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