Koch, John Michael

Koch, John Michael is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Koch, John Michael can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax: (920) 272-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 46407 Wisconsin

Profile Details

NPI number 1467478271
LBN Legal business name Koch, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 28th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467478271 NPPES
Wisconsin MEDICAID 34501700

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