Koch, Lisa M

Koch, Lisa M is an sole proprietor health care provider with primary practice located at 601 6Th Ave , Huntington WV 25701-2103. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Koch, Lisa M can be contacted via phone (304) 525-7221.

Contact Information

Primary practice address
601 6Th Ave Huntington WV 25701-2103
Phone: (304) 525-7221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0320 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0158 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0291 West Virginia

Profile Details

NPI number 1609119700
LBN Legal business name Koch, Lisa M
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Mar 27th, 2013 - about 12 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 1609119700 NPPES
Other 311090322 FEIN 311090322

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