Koehler, Andrew M.

Koehler, Andrew M. is an individual health care provider with primary practice located at 3380 N Futrall Dr Ste 1 , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Koehler, Andrew M. can be contacted via phone (479) 442-7322.

Contact Information

Primary practice address
3380 N Futrall Dr Ste 1 Fayetteville AR 72703
Fax: (479) 442-7379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-6849 Arkansas

Profile Details

NPI number 1285808121
LBN Legal business name Koehler, Andrew M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Dec 29th, 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 1285808121 NPPES
Arkansas Other 5H946 AR BC/BS
Arkansas MEDICAID 187149001 AR BC/BS

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