Provider Demographics
NPI:1447456660
Name:BOHNER, STEVEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:BOHNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 LUCERNE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4374
Mailing Address - Country:US
Mailing Address - Phone:775-782-5221
Mailing Address - Fax:775-783-8512
Practice Address - Street 1:1653 LUCERNE ST
Practice Address - Street 2:SUITE C
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4357
Practice Address - Country:US
Practice Address - Phone:775-782-5221
Practice Address - Fax:775-783-8512
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV31738Medicare UPIN
NV062007Medicare ID - Type Unspecified