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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538138235 | NPPES |
| Arkansas | MEDICAID | 106477001 |
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