Koch, Brenton B

Koch, Brenton B is an individual health care provider with primary practice located at 4855 Mills Civic Pkwy # 100 , West Des Moines IA 50265-5268. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Koch, Brenton B can be contacted via phone (515) 277-5555.

Contact Information

Primary practice address
4855 Mills Civic Pkwy # 100 West Des Moines IA 50265-5268
Phone: (515) 277-5555
Fax: (515) 277-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 31968 Iowa
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 31968 Iowa
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 31968 Iowa

Profile Details

NPI number 1487651303
LBN Legal business name Koch, Brenton B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 11th, 2014 - about 10 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 1487651303 NPPES
Iowa MEDICAID 1162586

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