Koczab, Gabrielle Marie
Koczab, Gabrielle Marie is an individual health care provider with primary practice located at 3909 Orange Pl Ste 2100 , Beachwood OH 44122-8400. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Koczab, Gabrielle Marie can be contacted via phone (216) 896-1800.Contact Information
Primary practice address
3909 Orange Pl Ste 2100
Beachwood OH 44122-8400
Phone: (216) 896-1800
Fax: (216) 896-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-009460 | Ohio |
Profile Details
| NPI number | 1548467038 |
|---|---|
| LBN Legal business name | Koczab, Gabrielle Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Jan 10th, 2021 - about 5 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 | 1548467038 | NPPES |
| Ohio | MEDICAID | 2983517 |
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