Koehler, Jill E.

Koehler, Jill E. is an individual health care provider with primary practice located at 3901 Beaubien Children'S Hospital Of Mi, Detroit MI 48201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Koehler, Jill E. can be contacted via phone (313) 745-0113.

Contact Information

Primary practice address
3901 Beaubien Children'S Hospital Of Mi Detroit MI 48201
Phone: (313) 745-0113
Fax: (313) 993-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 4301051696 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301051696 Michigan

Profile Details

NPI number 1205924321
LBN Legal business name Koehler, Jill E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 10th, 2014 - about 11 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 1205924321 NPPES
Michigan Other 0B51090 BLUE SHIELD
Michigan MEDICAID 2787690 BLUE SHIELD

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