Koch, Michael P
Koch, Michael P is an individual health care provider with primary practice located at 8611 W Point Douglas Rd S , Cottage Grove MN 55016-4005. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Koch, Michael P can be contacted via phone (651) 458-1884.Contact Information
Primary practice address
8611 W Point Douglas Rd S
Cottage Grove MN 55016-4005
Phone: (651) 458-1884
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5141 | Minnesota |
Profile Details
NPI number | 1861453714 |
---|---|
LBN Legal business name | Koch, Michael P |
Credentials | LIC SW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Jan 12th, 2023 - about 2 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 | 1861453714 | NPPES |
Minnesota | MEDICAID | 768170400 |
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