Koch, Mark

Koch, Mark is an individual health care provider with primary practice located at 3000 Mack Rd , Fairfield OH 45014-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koch, Mark can be contacted via phone (513) 870-7000.

Contact Information

Primary practice address
3000 Mack Rd Fairfield OH 45014-5335
Phone: (513) 870-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 172619 Ohio

Profile Details

NPI number 1326031337
LBN Legal business name Koch, Mark
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 26th, 2008 - about 18 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 1326031337 NPPES
Ohio MEDICAID 0765435

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