Koch, Shannon M

Koch, Shannon M is an sole proprietor health care provider with primary practice located at 350 N Main St Ste 220 , Chelsea MI 48118-1370. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Koch, Shannon M can be contacted via phone (734) 433-5100.

Contact Information

Primary practice address
350 N Main St Ste 220 Chelsea MI 48118-1370
Phone: (734) 433-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301017089 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301017098 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6361007528 Michigan

Profile Details

NPI number 1447788476
LBN Legal business name Koch, Shannon M
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2017
Last updated Nov 17th, 2020 - about 4 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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