Doctor Name: | CHRISTOPHER J BOHACH |
NPI Number: | 1043232341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 2773 |
Business Practice Address: | 240 W Walton St Suite B Willard, OH - 448909155 |
Business Phone Number: | 4199353003 |
Business Fax Number: | 4199333008 |
Mailing Address: | Po Box 378, SANDUSKY |
State: | OH |
Postal Code: | 448710378 |
Phone Number: | 4196091112 |
Fax Number: | 4196091123 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 2773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |