Koehl, Gary Lionel
Koehl, Gary Lionel is an individual health care provider with primary practice located at 1015 Shook Ave , San Antonio TX 78212-2508. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Koehl, Gary Lionel can be contacted via phone (210) 826-2373.Contact Information
Primary practice address
1015 Shook Ave
San Antonio TX 78212-2508
Phone: (210) 826-2373
Fax: (210) 826-2374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D10371 | Texas |
Profile Details
| NPI number | 1376539056 |
|---|---|
| LBN Legal business name | Koehl, Gary Lionel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376539056 | NPPES |
| Other | 527724 | UNITED CONCORDIA | |
| Other | BK04 | UNITED CONCORDIA |
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