Koch, Bruce Evan

Koch, Bruce Evan is an individual health care provider with primary practice located at 5633 N Lidgerwood , Spokane WA 99208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koch, Bruce Evan can be contacted via phone (509) 482-0111.

Contact Information

Primary practice address
5633 N Lidgerwood Spokane WA 99208
Phone: (509) 482-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30007302 Washington

Profile Details

NPI number 1336128180
LBN Legal business name Koch, Bruce Evan
Credentials CRNA MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated May 29th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336128180 NPPES
Washington Other RN00163452 STATE LICENSE
Washington MEDICAID RN3329700 STATE LICENSE
Washington Other AP30007302 STATE LICENSE

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