Koch, Donna Marie
Koch, Donna Marie is an sole proprietor health care provider with primary practice located at 297 Passaic Street , Garfield NJ 07026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koch, Donna Marie can be contacted via phone (973) 777-2293.Contact Information
Primary practice address
297 Passaic Street
Garfield NJ 07026
Phone: (973) 777-2293
Fax: (973) 777-9117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB069001 | New Jersey |
Profile Details
| NPI number | 1083652853 |
|---|---|
| LBN Legal business name | Koch, Donna Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083652853 | NPPES |
| New Jersey | MEDICAID | 9081101 |
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