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
Fax: (864) 675-1657
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356375414 NPPES
South Carolina MEDICAID 294191

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