Koch, Anita R.

Koch, Anita R. is an individual health care provider with primary practice located at 7067 Tiffany Blvd Suite 230, Poland OH 44514-1993. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Koch, Anita R. can be contacted via phone (330) 758-2748.

Contact Information

Primary practice address
7067 Tiffany Blvd Suite 230 Poland OH 44514-1993
Phone: (330) 758-2748
Fax: (330) 758-3282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN. 226436 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X NS09826 Ohio

Profile Details

NPI number 1316190556
LBN Legal business name Koch, Anita R.
Credentials RN CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2008
Last updated Jun 22nd, 2017 - about 7 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 1316190556 NPPES
Ohio Other 000000955776 ANTHEM BSBS
Ohio MEDICAID 2916518 ANTHEM BSBS
Ohio Other H155462 ANTHEM BSBS

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