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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457425639 NPPES
Indiana Other 000000486432 ANTHEM
Indiana MEDICAID 200296630 ANTHEM

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