Provider Demographics
NPI:1912190398
Name:DAVID A BOHN CHIROPRACTIC SERVICES PC
Entity Type:Organization
Organization Name:DAVID A BOHN CHIROPRACTIC SERVICES PC
Other - Org Name:ACCENT ON HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-777-3710
Mailing Address - Street 1:405 FIREMANS AVE
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7014
Mailing Address - Country:US
Mailing Address - Phone:301-777-3710
Mailing Address - Fax:301-777-0436
Practice Address - Street 1:405 FIREMANS AVE
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7014
Practice Address - Country:US
Practice Address - Phone:301-777-3710
Practice Address - Fax:301-777-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD09V9DAOtherBCBS OF MD
MD555PMedicare PIN
MDDH0731Medicare PIN