Koch, Caroline M
Koch, Caroline M is an individual health care provider with primary practice located at 2187 Swanson Ave , Lake Havasu City AZ 86403-6838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Koch, Caroline M can be contacted via phone (928) 855-3432.Contact Information
Primary practice address
2187 Swanson Ave
Lake Havasu City AZ 86403-6838
Phone: (928) 855-3432
Fax: (928) 757-3256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17605 | Arizona |
Profile Details
| NPI number | 1841286820 |
|---|---|
| LBN Legal business name | Koch, Caroline M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841286820 | NPPES |
| Arizona | MEDICAID | 277691 |
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