Koch, Ethan Benjamin

Koch, Ethan Benjamin is an individual health care provider with primary practice located at 1601 Highway 13 E Ste 100 , Burnsville MN 55337-6847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Koch, Ethan Benjamin can be contacted via phone (952) 405-9760.

Contact Information

Primary practice address
1601 Highway 13 E Ste 100 Burnsville MN 55337-6847
Phone: (952) 405-9760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 71757 Minnesota
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 71757 Minnesota

Profile Details

NPI number 1023514007
LBN Legal business name Koch, Ethan Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Jun 7th, 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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