Kock, Charles L.

Kock, Charles L. is an individual health care provider with primary practice located at 201 Denning Dr , Houma LA 70360-3977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kock, Charles L. can be contacted via phone (985) 855-4829.

Contact Information

Primary practice address
201 Denning Dr Houma LA 70360-3977
Phone: (985) 855-4829
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A10076 Louisiana

Profile Details

NPI number 1356326631
LBN Legal business name Kock, Charles L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 6th, 2015 - 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 1356326631 NPPES
Louisiana Other 970006535 RR MEDICARE
Louisiana MEDICAID 1624845 RR MEDICARE

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