Koschnitzke, Martin A

Koschnitzke, Martin A is an individual health care provider with primary practice located at 1760 E Ken Pratt Blvd # 201 , Longmont CO 80504-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Koschnitzke, Martin A can be contacted via phone (720) 718-8222.

Contact Information

Primary practice address
1760 E Ken Pratt Blvd # 201 Longmont CO 80504-5311
Phone: (720) 718-8222
Fax: (720) 718-5986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34193 Colorado

Profile Details

NPI number 1427043934
LBN Legal business name Koschnitzke, Martin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 21st, 2024 - about 2 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 1427043934 NPPES
Colorado MEDICAID 01252097

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