Kochobay, Angela Marie

Kochobay, Angela Marie is an individual health care provider with primary practice located at 5705 Carter Woods Ct , Waxhaw NC 28173-6974. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kochobay, Angela Marie can be contacted via phone (267) 730-9411.

Contact Information

Primary practice address
5705 Carter Woods Ct Waxhaw NC 28173-6974
Phone: (267) 730-9411
Fax: (803) 728-3291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 11444 North Carolina

Profile Details

NPI number 1114465424
LBN Legal business name Kochobay, Angela Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Jan 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114465424 NPPES
South Carolina MEDICAID GP8975
South Carolina MEDICAID 14171387

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