Provider Demographics
NPI:1942390497
Name:BOHRER, BEVERLY ELIZABETH (CFA)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ELIZABETH
Last Name:BOHRER
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 MONTCALM PL
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1735
Mailing Address - Country:US
Mailing Address - Phone:651-341-9514
Mailing Address - Fax:
Practice Address - Street 1:659 MONTCALM PL
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1735
Practice Address - Country:US
Practice Address - Phone:651-341-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other