Koch, Rachel
Koch, Rachel is an individual health care provider with primary practice located at 24760 Hospital Dr , Red Lake MN 56671-0497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koch, Rachel can be contacted via phone (218) 679-3912.Contact Information
Primary practice address
24760 Hospital Dr
Red Lake MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R129319-1 | Minnesota |
Profile Details
NPI number | 1245279835 |
---|---|
LBN Legal business name | Koch, Rachel |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Sep 19th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245279835 | NPPES |
Minnesota | MEDICAID | 289818700 |
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