Koelsch, Michael G

Koelsch, Michael G is an individual health care provider with primary practice located at 208 Corwin Lane , Kokomo IN 46902-6612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Koelsch, Michael G can be contacted via phone (765) 453-8567.

Contact Information

Primary practice address
208 Corwin Lane Kokomo IN 46902-6612
Phone: (765) 453-8567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01049321A Indiana

Profile Details

NPI number 1053336297
LBN Legal business name Koelsch, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 2nd, 2023 - 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 1053336297 NPPES
Indiana Other P01347724 MEDICARE RR PTAN
Indiana Other 000000083152 MEDICARE RR PTAN
Indiana Other 224040199 MEDICARE RR PTAN
Indiana Other 770002492 MEDICARE RR PTAN
Indiana MEDICAID 200251540A MEDICARE RR PTAN
Indiana Other P01270947 MEDICARE RR PTAN

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