Koch, Caroline M

Koch, Caroline M is an individual health care provider with primary practice located at 2187 Swanson Ave , Lake Havasu City AZ 86403-6838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Koch, Caroline M can be contacted via phone (928) 855-3432.

Contact Information

Primary practice address
2187 Swanson Ave Lake Havasu City AZ 86403-6838
Phone: (928) 855-3432
Fax: (928) 757-3256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17605 Arizona

Profile Details

NPI number 1841286820
LBN Legal business name Koch, Caroline M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Sep 12th, 2022 - about 3 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 1841286820 NPPES
Arizona MEDICAID 277691

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