Dr. Michael Edward Bohan
Internist - Addiction Medicine
4509 Whitechapel Dr
Virginia Beach
, Virginia 23455-6447
Dr. Michael Edward Bohan
Internist - Addiction Medicine
4509 Whitechapel Dr
Virginia Beach
, Virginia 23455-6447
(757) 460-7744
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Edward Bohan
- 4509 Whitechapel Dr
- Virginia Beach, VA
- Zip : 23455-6447
- Fax : (757) 460-7744
- Phone : (757) 460-4655
Second Address
- Dr. Michael Edward Bohan
- 4509 Whitechapel Dr
- Virginia Beach, VA
- Zip : 23455-6447
- Fax : (757) 460-7744
- Phone : (757) 460-4655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 0101034746 | VA |
National Provider Identifier
| NPI | 1326058983 |
|---|---|
| Provider Name | Dr. Michael Edward Bohan |
| First Address | Virginia Beach, VA 23455-6447 |
| Second Address | Virginia Beach, VA 23455-6447 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 24/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 006015255 | (05) | VA |
| B05617 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.