Koch, Gina M.
Koch, Gina M. is an sole proprietor health care provider with primary practice located at 1990 Godfrey Dr , Waupaca WI 54981-7908. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Koch, Gina M. can be contacted via phone (715) 256-9616.Contact Information
Primary practice address
1990 Godfrey Dr
Waupaca WI 54981-7908
Phone: (715) 256-9616
Fax: (715) 256-9618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3449-012 | Wisconsin |
Profile Details
| NPI number | 1053366203 |
|---|---|
| LBN Legal business name | Koch, Gina M. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Apr 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053366203 | NPPES |
| Wisconsin | MEDICAID | 38902900 |
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