Koller, Darwin Martin

Koller, Darwin Martin is an individual health care provider with primary practice located at 910 Blackford St , Chattanooga TN 37403-1405. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Koller, Darwin Martin can be contacted via phone (423) 778-6011.

Contact Information

Primary practice address
910 Blackford St Chattanooga TN 37403-1405
Phone: (423) 778-6011
Fax: (865) 539-8008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39891 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39891 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD39891 Tennessee

Profile Details

NPI number 1568495638
LBN Legal business name Koller, Darwin Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Nov 21st, 2007 - about 19 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 1568495638 NPPES
Tennessee MEDICAID 3333990
Tennessee Other 4110137

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