Bohn, Elizabeth Ann
Bohn, Elizabeth Ann is an individual health care provider with primary practice located at 2630 Highway K Ste 100 , O Fallon MO 63368-6624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bohn, Elizabeth Ann can be contacted via phone (636) 240-5454.Contact Information
Primary practice address
2630 Highway K Ste 100
O Fallon MO 63368-6624
Phone: (636) 240-5454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2022029696 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003294 | Illinois |
Profile Details
| NPI number | 1679721179 |
|---|---|
| LBN Legal business name | Bohn, Elizabeth Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2008 |
| Last updated | May 2nd, 2023 - about 3 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 | 1679721179 | NPPES |
| Illinois | Other | 10019630 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 115574 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 033352 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 143870 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036067104 | BLUE CROSS BLUE SHIELD |
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