Koshy, Betty
Koshy, Betty is an individual health care provider with primary practice located at 820 Lester Ave , Saint Joseph MI 49085-2561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Koshy, Betty can be contacted via phone (269) 985-0029.Contact Information
Primary practice address
820 Lester Ave
Saint Joseph MI 49085-2561
Phone: (269) 985-0029
Fax: (269) 985-0040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301032733 | Michigan |
Profile Details
| NPI number | 1437155561 |
|---|---|
| LBN Legal business name | Koshy, Betty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437155561 | NPPES |
| Michigan | MEDICAID | 4647527 | |
| Michigan | Other | 11-0111404-1 | |
| Michigan | Other | 36-30032 |
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