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
Fax: (315) 359-2645
Website:

Health care specialties

SpecialtyCodeLicense #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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