Koch, Daniel Gregory

Koch, Daniel Gregory is an individual health care provider with primary practice located at 1531 N Aspen St , Lincolnton NC 28092-7268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koch, Daniel Gregory can be contacted via phone (704) 732-8736.

Contact Information

Primary practice address
1531 N Aspen St Lincolnton NC 28092-7268
Phone: (704) 732-8736
Fax: (704) 732-8121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200401245 North Carolina

Profile Details

NPI number 1861484453
LBN Legal business name Koch, Daniel Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 7th, 2011 - about 15 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 1861484453 NPPES
North Carolina Other 138N8 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 89138N8 BLUE CROSS BLUE SHIELD

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