Koch, Barbara J

Koch, Barbara J is an individual health care provider with primary practice located at 3021 Voyager Dr , Green Bay WI 54311-8303. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / Registered Nurse is her primary health care specialty. Koch, Barbara J can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3021 Voyager Dr Green Bay WI 54311-8303
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 47243 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 846 Wisconsin

Profile Details

NPI number 1467475574
LBN Legal business name Koch, Barbara J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467475574 NPPES
Wisconsin MEDICAID 43813900

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