Koch, Paul David

Koch, Paul David is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Koch, Paul David can be contacted via phone (920) 593-3938.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 593-3938
Fax: (920) 884-3271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20415-020 Wisconsin

Profile Details

NPI number 1649346073
LBN Legal business name Koch, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1649346073 NPPES
Wisconsin MEDICAID 30980400

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