Koch, Julie Ann
Koch, Julie Ann is an individual health care provider with primary practice located at 55 University Dr Suite 102, Valparaiso IN 46383-2195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koch, Julie Ann can be contacted via phone (219) 464-5352.Contact Information
Primary practice address
55 University Dr Suite 102
Valparaiso IN 46383-2195
Phone: (219) 464-5352
Fax: (219) 464-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000001 | Indiana |
Profile Details
| NPI number | 1457425639 |
|---|---|
| LBN Legal business name | Koch, Julie Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Oct 9th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457425639 | NPPES |
| Indiana | Other | 000000486432 | ANTHEM |
| Indiana | MEDICAID | 200296630 | ANTHEM |
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