Koch, Ezra

Koch, Ezra is an sole proprietor health care provider with primary practice located at 4108 39Th Ave Nw , Mandan ND 58554-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Koch, Ezra can be contacted via phone (701) 426-4291.

Contact Information

Primary practice address
4108 39Th Ave Nw Mandan ND 58554-1253
Phone: (701) 426-4291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19404 North Dakota

Profile Details

NPI number 1861016024
LBN Legal business name Koch, Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2020
Last updated Mar 1st, 2023 - 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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