Richard A Bohjanen, MD
Individual provider Active NPI Specialist · Ishpeming, MI
NPI 1215098934 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215098934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4301039485 (MI)
- Practice address
- 97 S 4TH St
Ste F
Ishpeming, MI 49849-2168 - Phone
- (906) 485-5771
- Fax
- (906) 486-6898
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301039485 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Medical Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301039485 | MI | Yes |
Addresses
Primary practice location
97 S 4TH St
Ste F
Ishpeming, MI 49849-2168
Mailing address
97 S 4TH St
Ste F
Ishpeming, MI 49849-2168
Phone (906) 485-5771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RB039485 | Other | MI | BCBS LICENSE |
Other providers in Ishpeming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.