Koch, Jack L.
Koch, Jack L. is an sole proprietor health care provider with primary practice located at 1507 16Th Ave S , Nashville TN 37212-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Koch, Jack L. can be contacted via phone (615) 515-7775.Contact Information
Primary practice address
1507 16Th Ave S
Nashville TN 37212-2905
Phone: (615) 515-7775
Fax: (615) 523-1483
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 27427 | Tennessee |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 27427 | Tennessee |
Profile Details
NPI number | 1114923737 |
---|---|
LBN Legal business name | Koch, Jack L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2005 |
Last updated | Mar 31st, 2022 - about 3 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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