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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1376539056 NPPES
Other 527724 UNITED CONCORDIA
Other BK04 UNITED CONCORDIA

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