Koehler, Jonathan Frohse

Koehler, Jonathan Frohse is an individual health care provider with primary practice located at 2915 Missouri Ave , Shreveport LA 71109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Koehler, Jonathan Frohse can be contacted via phone (318) 621-8820.

Contact Information

Primary practice address
2915 Missouri Ave Shreveport LA 71109
Phone: (318) 621-8820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0067018 Maryland
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.016641 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 016641 Louisiana

Profile Details

NPI number 1144250705
LBN Legal business name Koehler, Jonathan Frohse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 12th, 2019 - about 7 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 1144250705 NPPES
Louisiana MEDICAID 1346535

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