Koch, Tracey
Koch, Tracey is an individual health care provider with primary practice located at 420 N Second Ave Suite 100, Sandpoint ID 83864-1565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koch, Tracey can be contacted via phone (208) 265-2242.Contact Information
Primary practice address
420 N Second Ave Suite 100
Sandpoint ID 83864-1565
Phone: (208) 265-2242
Fax: (208) 265-8214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | NP461A | Idaho |
Profile Details
| NPI number | 1295741239 |
|---|---|
| LBN Legal business name | Koch, Tracey |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295741239 | NPPES |
| Idaho | MEDICAID | 806191100 |
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