Koch, Jane C

Koch, Jane C is an individual health care provider with primary practice located at 2000 Mon Health Medical Park Dr Ste 2100 , Morgantown WV 26505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Koch, Jane C can be contacted via phone (304) 599-6811.

Contact Information

Primary practice address
2000 Mon Health Medical Park Dr Ste 2100 Morgantown WV 26505
Fax: (304) 599-7159
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 30529 West Virginia

Profile Details

NPI number 1396708236
LBN Legal business name Koch, Jane C
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Aug 14th, 2018 - about 6 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 1396708236 NPPES
West Virginia MEDICAID 0092224000
West Virginia Other 001710733

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