Individual
MR. JAMES R BOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(849) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1113205
KY
367500000X
Certified Registered Nurse Anesthetist
28055707A
IN
367500000X
Certified Registered Nurse Anesthetist
RN245406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341626
ANTHEM
IN
01
—
000000537016
ANTHEM
KY
05
—
0752092
—
OH
Enumeration date
08/11/2006
Last updated
02/28/2008
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