Koch, David A

Koch, David A is an sole proprietor health care provider with primary practice located at 410 N Hyatt St , Tipp City OH 45371-1434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koch, David A can be contacted via phone (937) 667-6914.

Contact Information

Primary practice address
410 N Hyatt St Tipp City OH 45371-1434
Fax: (937) 667-3744
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T1099/3544 Ohio

Profile Details

NPI number 1649204058
LBN Legal business name Koch, David A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jan 5th, 2009 - about 15 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 1649204058 NPPES
Ohio Other 000000018967 ANTHEM

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