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NPI Code Detail

MEDICARE: JEANNE BOHM MD

MEDICARE:   JEANNE  BOHM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35.125419OH
2207Q00000XFamily Medicine Physician61275AZ
3207Q00000XFamily Medicine Physician25858WV
4207Q00000XFamily Medicine Physician4301098457MI
5207Q00000XFamily Medicine PhysicianE-8761AR
6207Q00000XFamily Medicine PhysicianS1356TX
7207Q00000XFamily Medicine Physician277594MA
8207Q00000XFamily Medicine Physician35.125419OH
9207Q00000XFamily Medicine Physician01073216AIN

General Provider Information

NPI Number : 1982915138
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE BOHM MD
Provider Business Mailing Address
First Line : PO BOX 1189
Second Line :
City : WEST CHESTER
State : OH
Zip : 45071-1189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9700 N 91ST ST STE A115
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5036
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 05/19/2025

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Directions to “ JEANNE BOHM MD” Practice Location

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