Koch, Henry Thomas
Koch, Henry Thomas is an sole proprietor health care provider with primary practice located at 8140 Ashton Ave Suite 200, Manassas VA 20109-2894. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Koch, Henry Thomas can be contacted via phone (703) 330-9933.Contact Information
Primary practice address
8140 Ashton Ave Suite 200
Manassas VA 20109-2894
Phone: (703) 330-9933
Fax: (703) 368-8454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0810001860 | Virginia |
Profile Details
| NPI number | 1487679585 |
|---|---|
| LBN Legal business name | Koch, Henry Thomas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 14th, 2007 - about 19 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 | 1487679585 | NPPES |
| Virginia | MEDICAID | 7705981 |
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