Individual provider · Type 1 NPI
Tommy Bohannan
Durable Medical Equipment & Medical Supplies · Dunlap, IL
NPI number
1407213796
Active
Practice location
11417 N Boulder Creek Ct
Dunlap, IL 61525-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Another provider at this address
About NPI 1407213796
Tommy Bohannan's National Provider Identifier is 1407213796, issued on Jan 19, 2016. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Dunlap, IL. The record was last updated on Mar 8, 2016.