Koch, Brian Michael

Koch, Brian Michael is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite S750, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Koch, Brian Michael can be contacted via phone (504) 340-6976.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite S750 Marrero LA 70072-3151
Phone: (504) 340-6976
Fax: (504) 349-6786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD.205878 Louisiana

Profile Details

NPI number 1184895476
LBN Legal business name Koch, Brian Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 22nd, 2017 - about 8 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 1184895476 NPPES
Louisiana MEDICAID 1238295

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