Individual
ERIC SEAN BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 IRMC DR, SUITE 100, INDIANA, PA 15701-3674
(724) 427-2260
(724) 427-2707
Mailing address
120 IRMC DR, SUITE 160, INDIANA, PA 15701
(724) 465-2676
(724) 349-1830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS011801
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS011801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019535180007
—
PA
Enumeration date
06/08/2006
Last updated
03/12/2021
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