Bohnemann, Susan I
Bohnemann, Susan I is an individual health care provider with primary practice located at 209 Martin Luther King Jr Way , Tacoma WA 98405-4265. 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. Bohnemann, Susan I can be contacted via phone (253) 596-3300.Contact Information
Primary practice address
209 Martin Luther King Jr Way
Tacoma WA 98405-4265
Phone: (253) 596-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003239 | Washington |
Profile Details
| NPI number | 1700902111 |
|---|---|
| LBN Legal business name | Bohnemann, Susan I |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | May 9th, 2008 - about 17 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 | 1700902111 | NPPES |
| Washington | MEDICAID | 8363335 |
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