Koehn, Gerard G
Koehn, Gerard G is an individual health care provider with primary practice located at 595 Chapel Hills Dr Suite 303, Colorado Springs CO 80920-1022. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Koehn, Gerard G can be contacted via phone (719) 574-0310.Contact Information
Primary practice address
595 Chapel Hills Dr Suite 303
Colorado Springs CO 80920-1022
Phone: (719) 574-0310
Fax: (719) 574-6574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16610 | Colorado |
Profile Details
| NPI number | 1619962768 |
|---|---|
| LBN Legal business name | Koehn, Gerard G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619962768 | NPPES |
| Colorado | MEDICAID | 01166107 |
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