Koder, Brett A.

Koder, Brett A. is an individual health care provider with primary practice located at 7847 Youree Dr , Shreveport LA 71105-5505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Koder, Brett A. can be contacted via phone (318) 212-3960.

Contact Information

Primary practice address
7847 Youree Dr Shreveport LA 71105-5505
Phone: (318) 212-3960
Fax: (318) 212-3907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD.017292 Louisiana
Other Service Providers / Specialist 174400000X 96-00594 North Carolina

Profile Details

NPI number 1073508016
LBN Legal business name Koder, Brett A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 24th, 2021 - about 3 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 1073508016 NPPES
North Carolina Other 343004 COVENTRY HEALTHCARE
North Carolina Other 1041160 COVENTRY HEALTHCARE
North Carolina Other 15359 COVENTRY HEALTHCARE
North Carolina Other 269370YNUV COVENTRY HEALTHCARE
North Carolina MEDICAID 1974677 COVENTRY HEALTHCARE
North Carolina MEDICAID 8950035 COVENTRY HEALTHCARE
North Carolina Other 2567929006 COVENTRY HEALTHCARE
North Carolina Other 2103801 COVENTRY HEALTHCARE
North Carolina MEDICAID 120247 COVENTRY HEALTHCARE
North Carolina Other 163923 COVENTRY HEALTHCARE
North Carolina Other 2019474 COVENTRY HEALTHCARE
North Carolina Other 040011888 COVENTRY HEALTHCARE
North Carolina Other 50035 COVENTRY HEALTHCARE
North Carolina Other 73986 COVENTRY HEALTHCARE

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