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Contact Information

RYAN J BOHLE
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN46845
 Phone: 260-266-5260
 Fax: 260-266-5279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RYAN J BOHLE · (Male)

NPI Number 1891052064
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2012
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01079575A
  • RI License # MD15516
Hospital affiliation(s)
  • CAMERON MEMORIAL COMMUNITY HOSPITAL INC - (Critical Access)
    416 E MAUMEE ST
    ANGOLA, IN 46703
  • DEKALB HEALTH - (Acute Care)
    1316 E SEVENTH ST
    AUBURN, IN 46706
  • PARKVIEW LAGRANGE HOSPITAL - (Critical Access)
    207 N TOWNLINE RD
    LAGRANGE, IN 46761
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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