Koch, Brian

Koch, Brian is an sole proprietor health care provider with primary practice located at 1 Bay St , Glen Ridge NJ 07028-1505. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Koch, Brian can be contacted via phone (925) 595-1994.

Contact Information

Primary practice address
1 Bay St Glen Ridge NJ 07028-1505
Phone: (925) 595-1994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA10240700 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A149062 California

Profile Details

NPI number 1972998417
LBN Legal business name Koch, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2015
Last updated Sep 20th, 2022 - about 2 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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