Provider Demographics
NPI:1750389631
Name:FOLEY-BOJANIC, CORINNE M (CNM)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:M
Last Name:FOLEY-BOJANIC
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 N COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3895
Mailing Address - Country:US
Mailing Address - Phone:419-291-8541
Mailing Address - Fax:419-480-1340
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3895
Practice Address - Country:US
Practice Address - Phone:419-291-8541
Practice Address - Fax:419-480-1340
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04813176B00000X
OHNM-04813367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA344428256OtherBEECH STREET
MI3522143Medicaid
OH05224OtherPARAMOUNT
OH344428256OtherHEALTHNET
OH2094782Medicaid
OH75121Medicare PIN
OH420000641Medicare PIN
OH2094782Medicaid