Koch, John
Koch, John is an individual health care provider with primary practice located at 1208 Driving Park Ave , Newark NY 14513-1057. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Koch, John can be contacted via phone (315) 359-2640.Contact Information
Primary practice address
1208 Driving Park Ave
Newark NY 14513-1057
Phone: (315) 359-2640
Fax: (315) 359-2645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000308 | New York |
Profile Details
| NPI number | 1629151220 |
|---|---|
| LBN Legal business name | Koch, John |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 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.
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