Bohlman, Ann Marie

Bohlman, Ann Marie is an sole proprietor health care provider with primary practice located at 4915 Monona Dr Suite 305, Monona WI 53716-2665. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bohlman, Ann Marie can be contacted via phone (608) 223-1506.

Contact Information

Primary practice address
4915 Monona Dr Suite 305 Monona WI 53716-2665
Fax: (608) 223-1745
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7018-123 Wisconsin

Profile Details

NPI number 1104991975
LBN Legal business name Bohlman, Ann Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1104991975 NPPES
Wisconsin MEDICAID 04154B102

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