Koch, Jennifer P

Koch, Jennifer P is an individual health care provider with primary practice located at 9532 179Th St , Tinley Park IL 60477-9602. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Koch, Jennifer P can be contacted via phone (708) 444-2273.

Contact Information

Primary practice address
9532 179Th St Tinley Park IL 60477-9602
Phone: (708) 444-2273
Fax: (708) 444-7380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1629297742
LBN Legal business name Koch, Jennifer P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
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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