Koelsch, David Werner

Koelsch, David Werner is an individual health care provider with primary practice located at 120 Administration Rd , Oak Ridge TN 37830-8822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Koelsch, David Werner can be contacted via phone (865) 483-7030.

Contact Information

Primary practice address
120 Administration Rd Oak Ridge TN 37830-8822
Phone: (865) 483-7030
Fax: (865) 483-3954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47206 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 36460 Kentucky

Profile Details

NPI number 1013919489
LBN Legal business name Koelsch, David Werner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 2nd, 2022 - about 2 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 1013919489 NPPES
Kentucky Other 000000191916 BC/BS PIN #
Kentucky MEDICAID Q073499 BC/BS PIN #

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