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Contact Information

ANNE K BOHLE, PA
66 PAVILION AVE
PROVIDENCE, RI02905-1522
 Phone: 401-461-9110
 Fax: 401-461-9194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for ANNE K BOHLE · (Female)

NPI # 1841563749
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/23/2012
Last updated 02/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.004229
  • RI License # PA00854
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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