Koch, Heidi Marie

Koch, Heidi Marie is an individual health care provider with primary practice located at 2301 Beaver Ave , Des Moines IA 50310-3903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koch, Heidi Marie can be contacted via phone (515) 255-3181.

Contact Information

Primary practice address
2301 Beaver Ave Des Moines IA 50310-3903
Fax: (515) 255-9392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33003 Iowa

Profile Details

NPI number 1588635379
LBN Legal business name Koch, Heidi Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588635379 NPPES
Iowa Other 47499 BCBS-WEST
Iowa MEDICAID 1191155 BCBS-WEST
Iowa Other 26258 BCBS-WEST

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