Couch, Jill Kristen

Couch, Jill Kristen is an individual health care provider with primary practice located at 100 15Th St Nw Ste 307 , Norton VA 24273-1616. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Couch, Jill Kristen can be contacted via phone (276) 679-9002.

Contact Information

Primary practice address
100 15Th St Nw Ste 307 Norton VA 24273-1616
Phone: (276) 679-9002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201652 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0102201652 Virginia

Profile Details

NPI number 1972561702
LBN Legal business name Couch, Jill Kristen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Aug 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972561702 NPPES
Tennessee MEDICAID Q024040
Tennessee MEDICAID 1972561702

Popular Providers