Koch, Charles A

Koch, Charles A is an sole proprietor health care provider with primary practice located at 6900 78Th Ave N , Brooklyn Park MN 55445-2719. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Koch, Charles A can be contacted via phone (763) 560-4412.

Contact Information

Primary practice address
6900 78Th Ave N Brooklyn Park MN 55445-2719
Phone: (763) 560-4412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1250 Minnesota

Profile Details

NPI number 1346308038
LBN Legal business name Koch, Charles A
Credentials MA, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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