Koehne, Thomas

Koehne, Thomas is an sole proprietor health care provider with primary practice located at 697 Maitland Avenue Suite 1002, Altamonte Springs FL 32701. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Koehne, Thomas can be contacted via phone (407) 539-2111.

Contact Information

Primary practice address
697 Maitland Avenue Suite 1002 Altamonte Springs FL 32701
Phone: (407) 539-2111
Fax: (407) 539-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0003198 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3198 Florida

Profile Details

NPI number 1629166434
LBN Legal business name Koehne, Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Aug 28th, 2013 - about 11 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 1629166434 NPPES
Florida Other 972885 P.A.CERTIFICATE NUMBER
Florida Other 970006599 P.A.CERTIFICATE NUMBER
Florida MEDICAID 290428400 P.A.CERTIFICATE NUMBER
Florida Other PA0003198 P.A.CERTIFICATE NUMBER

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