Provider Demographics
NPI:1124221163
Name:FROMAN-BOHALL, JEANIE RAE FRANCISE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANIE
Middle Name:RAE FRANCISE
Last Name:FROMAN-BOHALL
Suffix:
Gender:F
Credentials:DC
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Other - First Name:
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Mailing Address - Street 1:9191 RG SKINNER PARKWAY
Mailing Address - Street 2:503
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9660
Mailing Address - Country:US
Mailing Address - Phone:904-738-8189
Mailing Address - Fax:904-212-1612
Practice Address - Street 1:9191 R G SKINNER PKWY
Practice Address - Street 2:503
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9655
Practice Address - Country:US
Practice Address - Phone:904-738-8189
Practice Address - Fax:904-212-1612
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH9350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor