Koch, Benjamin S
Koch, Benjamin S is an individual health care provider with primary practice located at 35 International Dr , Greenville SC 29615-4816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Koch, Benjamin S can be contacted via phone (864) 234-7654.Contact Information
Primary practice address
35 International Dr
Greenville SC 29615-4816
Phone: (864) 234-7654
Fax: (864) 675-1657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 29149 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 29149 | South Carolina |
Profile Details
NPI number | 1356375414 |
---|---|
LBN Legal business name | Koch, Benjamin S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Sep 16th, 2013 - about 11 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 | 1356375414 | NPPES |
South Carolina | MEDICAID | 294191 |
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