Individual
JANICE MARIE BOHLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 324-3431
(219) 362-3802
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28157114A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005196A
IN
Other
Enumeration date
09/16/2014
Last updated
06/03/2021
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