Koch, Andrew William
Koch, Andrew William is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Koch, Andrew William can be contacted via phone (859) 301-2663.Contact Information
Primary practice address
560 S Loop Rd
Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 011275 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004871 | Kentucky |
Profile Details
| NPI number | 1407839582 |
|---|---|
| LBN Legal business name | Koch, Andrew William |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Nov 6th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407839582 | NPPES |
| Kentucky | MEDICAID | 7100028250 |
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