Koch, Jack L.

Koch, Jack L. is an sole proprietor health care provider with primary practice located at 1507 16Th Ave S , Nashville TN 37212-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Koch, Jack L. can be contacted via phone (615) 515-7775.

Contact Information

Primary practice address
1507 16Th Ave S Nashville TN 37212-2905
Phone: (615) 515-7775
Fax: (615) 523-1483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 27427 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27427 Tennessee

Profile Details

NPI number 1114923737
LBN Legal business name Koch, Jack L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Mar 31st, 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.

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