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Contact Information

STACI L BOHANNON, ATC
8585 OH-14
STREETSBORO, OH44241
 Phone: 440-212-1383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for STACI L BOHANNON · (Female)

NPI Number 1225542129
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/30/2017
Last updated 11/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OH License # AT.004892
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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