Koch, Michael Stephen

Koch, Michael Stephen is an individual health care provider with primary practice located at 102 W Kenwood Ave , Decatur IL 62526-4300. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Koch, Michael Stephen can be contacted via phone (217) 876-6820.

Contact Information

Primary practice address
102 W Kenwood Ave Decatur IL 62526-4300
Phone: (217) 876-6820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96002099 Illinois

Profile Details

NPI number 1235105404
LBN Legal business name Koch, Michael Stephen
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
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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