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
Phone: (904) 383-1004
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 19246 | Mississippi |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD469053 | Pennsylvania |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME142358 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033156187 | NPPES |
Mississippi | MEDICAID | 06936861 | |
Mississippi | Other | P01236774 |
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