Individual
ASHLEY BOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 BROADWAY, MERRILLVILLE, IN 46410
(219) 795-3360
(219) 795-3363
Mailing address
9001 BROADWAY, MERRILLVILLE, IN 46410
(219) 795-3360
(219) 795-3363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99081120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99081120A
INDIANA LICENSE
IN
Enumeration date
08/16/2017
Last updated
06/16/2018
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