Koff, Amy Beth
Koff, Amy Beth is an sole proprietor health care provider with primary practice located at 434 Route 134 Unit 1A, South Dennis MA 02660-3433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Koff, Amy Beth can be contacted via phone (508) 394-5556.Contact Information
Primary practice address
434 Route 134 Unit 1A
South Dennis MA 02660-3433
Phone: (508) 394-5556
Fax: (508) 394-2735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 80792 | Massachusetts |
Profile Details
| NPI number | 1144217670 |
|---|---|
| LBN Legal business name | Koff, Amy Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 25th, 2011 - about 15 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 | 1144217670 | NPPES |
| Massachusetts | Other | B20338701 | CIGNA PROV NO |
| Massachusetts | Other | J16230 | CIGNA PROV NO |
| Massachusetts | Other | 4736 | CIGNA PROV NO |
| Massachusetts | Other | 070011714 | CIGNA PROV NO |
| Massachusetts | Other | 0300324 | CIGNA PROV NO |
| Massachusetts | Other | 080792 | CIGNA PROV NO |
| Massachusetts | Other | MA0019324 | CIGNA PROV NO |
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