Jared Mark Bohman, | |
655 E 1300 N, Logan, UT 84341 | |
(435) 792-6491 | |
(435) 792-6600 |
Full Name | Jared Mark Bohman |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 655 E 1300 N, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316153562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5022459-3501 (Utah) | Primary |
Entity Name | Bear River District Health Dept |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205046711 PECOS PAC ID: 3274633441 Enrollment ID: O20070912000436 |
Mailing Address | Practice Location Address |
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Jared Mark Bohman, 655 E 1300 N, Logan, UT 84341 Ph: (435) 792-6491 | Jared Mark Bohman, 655 E 1300 N, Logan, UT 84341 Ph: (435) 792-6491 |
Mr. Jared M. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 W 1400 N, Suite A, Logan, UT 84341 Phone: 435-752-5302 Fax: 435-753-9007 | |
Ashley Carolina Brog, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 W 100 S Ste 200, Logan, UT 84321 Phone: 801-822-2109 | |
Mr. Jeremy Clayton Hilton I, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300 | |
Lorii Ann Hubbard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2616 Black Walnut Dr, Logan, UT 84341 Phone: 435-890-9323 | |
Tia Lynn Rowley, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N Ste O, Logan, UT 84321 Phone: 435-915-6777 | |
Megan Lynn Andersen, CSW, CTRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 W Cache Valley Blvd Ste 5c, Logan, UT 84341 Phone: 435-538-2152 | |
Jasmine Karinne Hopkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2072 N Main St Ste 201, Logan, UT 84341 Phone: 801-655-5450 |