Koch, Debra

Koch, Debra is an individual health care provider with primary practice located at 18101 Oakwood Blvd Dept Of Neonatology, Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Koch, Debra can be contacted via phone (313) 593-7490.

Contact Information

Primary practice address
18101 Oakwood Blvd Dept Of Neonatology Dearborn MI 48124-4089
Phone: (313) 593-7490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704143015 Michigan

Profile Details

NPI number 1205975281
LBN Legal business name Koch, Debra
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 21st, 2022 - about 2 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 1205975281 NPPES
Michigan Other 4704143015 LICENSE

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