Bohler, Henry Cabot Lodge
Bohler, Henry Cabot Lodge is an sole proprietor health care provider with primary practice located at 9412 Civic Way Apt 210 , Prospect KY 40059-5103. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Bohler, Henry Cabot Lodge can be contacted via phone (502) 373-0110.Contact Information
Primary practice address
9412 Civic Way Apt 210
Prospect KY 40059-5103
Phone: (502) 373-0110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 38316 | Kentucky |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 38316 | Kentucky |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207VB0002X | 38316 | Kentucky |
Profile Details
| NPI number | 1366475568 |
|---|---|
| LBN Legal business name | Bohler, Henry Cabot Lodge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jan 7th, 2025 - about last year |
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 | 1366475568 | NPPES |
| Indiana | MEDICAID | 200463200 | |
| Indiana | MEDICAID | 64924855 |
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