Kochanski, Mark

Kochanski, Mark is an individual health care provider with primary practice located at 7380 Volkswagen Dr Ste 190A, Chattanooga TN 37416-1755. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kochanski, Mark can be contacted via phone (423) 933-1672.

Contact Information

Primary practice address
7380 Volkswagen Dr Ste 190A Chattanooga TN 37416-1755
Phone: (423) 933-1672
Fax: (423) 933-1675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1053364711
LBN Legal business name Kochanski, Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 31st, 2014 - about 10 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 1053364711 NPPES
Tennessee MEDICAID 0446652
Tennessee Other 3156797

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