Koch, Susan
Koch, Susan is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Koch, Susan can be contacted via phone (484) 628-4075.Contact Information
Primary practice address
420 S 5Th Ave
West Reading PA 19611-2143
Phone: (484) 628-4075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | MW008547L | Pennsylvania |
Profile Details
| NPI number | 1902868573 |
|---|---|
| LBN Legal business name | Koch, Susan |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 9th, 2016 - about 8 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 | 1902868573 | NPPES |
| Pennsylvania | MEDICAID | 100840156 |
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