Koch, Therese K

Koch, Therese K is an individual health care provider with primary practice located at 201 Laurel Oak Rd Suite B, Voorhees NJ 08043-4424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Koch, Therese K can be contacted via phone (856) 566-5478.

Contact Information

Primary practice address
201 Laurel Oak Rd Suite B Voorhees NJ 08043-4424
Phone: (856) 566-5478
Fax: (856) 566-9561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00040100 New Jersey

Profile Details

NPI number 1598712960
LBN Legal business name Koch, Therese K
Credentials MSW, CNN, APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1598712960 NPPES
New Jersey MEDICAID 0013234

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