Koch, Rachel

Koch, Rachel is an individual health care provider with primary practice located at 24760 Hospital Dr , Red Lake MN 56671-0497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koch, Rachel can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
24760 Hospital Dr Red Lake MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R129319-1 Minnesota

Profile Details

NPI number 1245279835
LBN Legal business name Koch, Rachel
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 19th, 2012 - about 14 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 1245279835 NPPES
Minnesota MEDICAID 289818700

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