Koch, A Elizabeth
Koch, A Elizabeth is an sole proprietor health care provider with primary practice located at 2486 Pass Rd , Biloxi MS 39531-2838. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koch, A Elizabeth can be contacted via phone (228) 388-6006.Contact Information
Primary practice address
2486 Pass Rd
Biloxi MS 39531-2838
Phone: (228) 388-6006
Fax: (228) 388-6027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 47 823 | Mississippi |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 522 | Alabama |
Profile Details
| NPI number | 1043325764 |
|---|---|
| LBN Legal business name | Koch, A Elizabeth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Nov 17th, 2009 - about 16 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 | 1043325764 | NPPES |
| Alabama | Other | 51521901 | BLUE CROSS BLUE SHIELD |
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