Koch, Randall

Koch, Randall is an individual health care provider with primary practice located at 704 Emmet St , Petoskey MI 49770-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Koch, Randall can be contacted via phone (231) 347-5511.

Contact Information

Primary practice address
704 Emmet St Petoskey MI 49770-2910
Phone: (231) 347-5511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401012477 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.005305 Illinois

Profile Details

NPI number 1336563311
LBN Legal business name Koch, Randall
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2014
Last updated Feb 11th, 2014 - about 11 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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