Individual
HAILEY BOHAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1846 COUNTY ROAD K, WAHOO, NE 68066-4012
(402) 443-6823
Mailing address
1846 COUNTY ROAD K, WAHOO, NE 68066-4012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3050
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2022
Last updated
01/22/2024
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