Jared Mark Bohman is a Clinical in Logan, Utah. Jared Mark Bohman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jared Mark Bohman is 1316153562. The last update date is 2010-09-13.
Jared Mark Bohman's current location address is 655 E 1300 N, Logan, Utah. You can contact this provider via phone number 4357926491 and fax number 4357926600. The mailing address for Jared Mark Bohman is 655 E 1300 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jared Mark Bohman |
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Address | 655 E 1300 N, Logan, Utah |
Phone Number | 4357926491 |
Fax Number | 4357926600 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1316153562 |
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Provider Enumeration Date | 2007-05-15 |
Last Updated Date | 2010-09-13 |
Provider Mailing Address Detail
Address | 655 E 1300 N |
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City | Logan |
State | Utah (UT) |
Post Code | 84341 |
Phone Number | 4357926491 |
Fax Number | 4357926600 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 5022459-3501 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Jared Mark Bohman by the Centers for Medicare & Medicaid Services?
The Jared Mark Bohman has been issued the NPI (National Provider Identifier) 1316153562 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jared Mark Bohman's facilities are situated?
The facilities of Jared Mark Bohman are physically located at the following address: 655 E 1300 N, Logan, UT, 84341.
What is the Jared Mark Bohman's area of specialization and corresponding taxonomy classification?
The Jared Mark Bohman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jared Mark Bohman receive its 1316153562 assignment from the Centers for Medicare & Medicaid Services?
The Jared Mark Bohman was assigned its 1316153562 by the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information regarding Jared Mark Bohman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jared Mark Bohman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-09-13.