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Contact Information

JACLYN J BOHM, DPM
15705 CIMARRON AVE
ROSEMOUNT, MN55068
 Phone: 651-322-8800
 Fax: 651-322-8840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACLYN J BOHM · (Female)

NPI # 1306005111
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/06/2008
Last updated 07/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 842
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
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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