Bohling, Muksarin
Bohling, Muksarin is an individual health care provider with primary practice located at 2005 W Main St Ste 110 , Battle Ground WA 98604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bohling, Muksarin can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
2005 W Main St Ste 110
Battle Ground WA 98604
Phone: (360) 882-2778
Fax: (360) 604-1762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA173364 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60848187 | Washington |
Profile Details
| NPI number | 1417333048 |
|---|---|
| LBN Legal business name | Bohling, Muksarin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2015 |
| Last updated | Oct 24th, 2018 - about 8 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 | 1417333048 | NPPES |
| Washington | MEDICAID | 2047312 | |
| Washington | MEDICAID | 500690913 |
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