Koch, Christian Albert

Koch, Christian Albert is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Koch, Christian Albert can be contacted via phone (904) 383-1004.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Fax:
Website:

Profile Details

NPI number 1033156187
LBN Legal business name Koch, Christian Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 26th, 2023 - about last year

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 1033156187 NPPES
Mississippi MEDICAID 06936861
Mississippi Other P01236774

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