Doctor Name: | DR. TIFFANY ANN BOHLMANN |
NPI Number: | 1063652774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM |
License Number: | 090.009627 |
Business Practice Address: | 702 N Jefferson St Watseka, IL - 609701133 |
Business Phone Number: | 8154324624 |
Business Fax Number: | 8154320112 |
Mailing Address: | Po Box 159, 702 N. Jefferson St. WATSEKA |
State: | IL |
Postal Code: | 609700159 |
Phone Number: | 8154324624 |
Fax Number: | 8154320112 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 090.009627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |