Koch, Anne L

Koch, Anne L is an sole proprietor health care provider with primary practice located at 778 Forest Avenue , Portland ME 04103. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Koch, Anne L can be contacted via phone (207) 874-2884.

Contact Information

Primary practice address
778 Forest Avenue Portland ME 04103
Fax: (207) 775-3007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC1309 Maine

Profile Details

NPI number 1437118759
LBN Legal business name Koch, Anne L
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Sep 13th, 2016 - about 8 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 1437118759 NPPES
Maine MEDICAID 132060101
Maine MEDICAID 132060100

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