Provider Demographics
NPI:1386457224
Name:BOHN, CLARANNE
Entity type:Individual
Prefix:
First Name:CLARANNE
Middle Name:
Last Name:BOHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMDALE
Mailing Address - State:OH
Mailing Address - Zip Code:44817-9752
Mailing Address - Country:US
Mailing Address - Phone:419-265-5670
Mailing Address - Fax:
Practice Address - Street 1:104 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:BLOOMDALE
Practice Address - State:OH
Practice Address - Zip Code:44817-9752
Practice Address - Country:US
Practice Address - Phone:419-265-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health