Koch, William J

Koch, William J is an individual health care provider with primary practice located at 2773 Harris St Ste A, Eureka CA 95503-4866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Koch, William J can be contacted via phone (707) 444-9664.

Contact Information

Primary practice address
2773 Harris St Ste A Eureka CA 95503-4866
Fax: (707) 444-8747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G36829 California

Profile Details

NPI number 1821063686
LBN Legal business name Koch, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 12th, 2016 - about 10 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 1821063686 NPPES
California MEDICAID 00G368290

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