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Contact Information

AMBER BOHANNON
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI48236-2893
 Phone: 313-343-1370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician/Technologist

156F00000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for AMBER BOHANNON · (Female)

NPI # 1942602180
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2014
Last updated 07/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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