Provider Demographics
NPI:1164672036
Name:BAHOR, JANE LUPTON (CCA/ANAPLASTOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:LUPTON
Last Name:BAHOR
Suffix:
Gender:F
Credentials:CCA/ANAPLASTOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 HILLANDALE RD
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2666
Mailing Address - Country:US
Mailing Address - Phone:919-383-1205
Mailing Address - Fax:919-383-2838
Practice Address - Street 1:1911 HILLANDALE RD
Practice Address - Street 2:SUITE 1110
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2666
Practice Address - Country:US
Practice Address - Phone:919-383-1205
Practice Address - Fax:919-383-2838
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes229N00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersAnaplastologist