Koch, Fred Daniel

Koch, Fred Daniel is an individual health care provider with primary practice located at 1600 Medical Way Suite 150, Snellville GA 30078-2166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Koch, Fred Daniel can be contacted via phone (770) 979-9903.

Contact Information

Primary practice address
1600 Medical Way Suite 150 Snellville GA 30078-2166
Phone: (770) 979-9903
Fax: (770) 979-7312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 052122 Georgia

Profile Details

NPI number 1841202017
LBN Legal business name Koch, Fred Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 13th, 2014 - about 10 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 1841202017 NPPES
Georgia MEDICAID 000982132C
Georgia MEDICAID 000982132D
Georgia MEDICAID 000982132E

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