Koch, Scott Michael

Koch, Scott Michael is an individual health care provider with primary practice located at 6600 S Yale Ave Ste 700 , Tulsa OK 74136-3360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koch, Scott Michael can be contacted via phone (918) 502-7300.

Contact Information

Primary practice address
6600 S Yale Ave Ste 700 Tulsa OK 74136-3360
Fax: (918) 502-7305
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4048 Oklahoma

Profile Details

NPI number 1144229469
LBN Legal business name Koch, Scott Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 22nd, 2018 - about 8 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 1144229469 NPPES
Oklahoma MEDICAID 200011730A

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