Koechle, Brad S

Koechle, Brad S is an sole proprietor health care provider with primary practice located at 401 N 4Th St , Springfield IL 62702-5205. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. Koechle, Brad S can be contacted via phone (217) 299-2973.

Contact Information

Primary practice address
401 N 4Th St Springfield IL 62702-5205
Phone: (217) 299-2973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 051040085 Illinois

Profile Details

NPI number 1841525847
LBN Legal business name Koechle, Brad S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2009
Last updated Oct 8th, 2009 - about 17 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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