NPI
Michael Henry Sullivan Bohr
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2016-09-22
- Last updated
- 2020-05-22
Specialties
Licenses
- License PA
- MA060392
Location
- Practice location
- 340 Montage Mountain Rd
- City
- Moosic PA
- Postal code
- 18507-1707
- Phone
- (570) 346-3686
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Moosic, PA. 227 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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