Koch, C W

Koch, C W is an individual health care provider with primary practice located at 3130 E Race Ave Suite 100, Searcy AR 72143-4979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koch, C W can be contacted via phone (501) 268-5845.

Contact Information

Primary practice address
3130 E Race Ave Suite 100 Searcy AR 72143-4979
Phone: (501) 268-5845
Fax: (501) 268-7327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C4335 Arkansas

Profile Details

NPI number 1538138235
LBN Legal business name Koch, C W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated May 20th, 2008 - about 16 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 1538138235 NPPES
Arkansas MEDICAID 106477001

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