Koch, James Michael

Koch, James Michael is an individual health care provider with primary practice located at 20776 Brantley Rd , Shaker Heights OH 44122-1930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Koch, James Michael can be contacted via phone (216) 296-2108.

Contact Information

Primary practice address
20776 Brantley Rd Shaker Heights OH 44122-1930
Phone: (216) 296-2108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35054940 Ohio

Profile Details

NPI number 1689649337
LBN Legal business name Koch, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 26th, 2019 - about 5 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 1689649337 NPPES
Ohio MEDICAID 0889150

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