Koczaja, Dorothy

Koczaja, Dorothy is an individual health care provider with primary practice located at 4020 W Goeller Blvd Suite D, Columbus IN 47201-8273. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koczaja, Dorothy can be contacted via phone (812) 342-2860.

Contact Information

Primary practice address
4020 W Goeller Blvd Suite D Columbus IN 47201-8273
Phone: (812) 342-2860
Fax: (812) 342-2849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003678A Indiana

Profile Details

NPI number 1437120862
LBN Legal business name Koczaja, Dorothy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 25th, 2007 - about 17 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 1437120862 NPPES
Indiana Other 000000392363 ANTHEM BC BS

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