Healthcare Provider Details

I. General information

NPI: 1114961273
Provider Name (Legal Business Name): FRANK A BOHMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MAIN ST
TOPSHAM ME
04086-1240
US

IV. Provider business mailing address

1 MAIN ST
TOPSHAM ME
04086-1240
US

V. Phone/Fax

Practice location:
  • Phone: 207-729-2680
  • Fax: 207-798-3930
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number010745
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: