Koch, Paul W.

Koch, Paul W. is an individual health care provider with primary practice located at 159 Kercheval Ave. , Grosse Pointe MI 48236. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Koch, Paul W. can be contacted via phone (313) 640-2300.

Contact Information

Primary practice address
159 Kercheval Ave. Grosse Pointe MI 48236
Phone: (313) 640-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301052069 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036110592 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036110592 Illinois

Profile Details

NPI number 1487623286
LBN Legal business name Koch, Paul W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Nov 27th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487623286 NPPES
Illinois Other 3932056 BLUE SHEILD
Illinois MEDICAID 036110592-2 BLUE SHEILD

Popular Providers