Koehler, Scott Mark

Koehler, Scott Mark is an individual health care provider with primary practice located at 1400 Jefferson Rd , Northfield MN 55057-3081. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Koehler, Scott Mark can be contacted via phone (507) 663-9000.

Contact Information

Primary practice address
1400 Jefferson Rd Northfield MN 55057-3081
Phone: (507) 663-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43309 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 43309 Minnesota

Profile Details

NPI number 1033173414
LBN Legal business name Koehler, Scott Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 9th, 2020 - about 6 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 1033173414 NPPES
Minnesota MEDICAID 482493800

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