Anika Bohmer

Individual provider Active NPI Specialist · Detroit Lakes, MN

NPI 1730840232 · NPPES record last updated Jan 6, 2022

Key facts

NPI
1730840232
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
1041 Hawk St
Detroit Lakes, MN 56501-6958
Phone
(218) 844-6853
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Behavioral Healthcare Professionals, PC Current
since Jan 17, 2022
Accepting new patients

Locations

1041 Hawk St
Detroit Lakes, MN 56501
Phone (218) 844-6853

1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

1041 Hawk St
Detroit Lakes, MN 56501-6958

Mailing address

1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338

Other providers in Detroit Lakes, MN

All providers in Detroit Lakes, MN · Specialist in Minnesota

Sources for this page

Verify at the official NPI Registry.