Koethe, John D

Koethe, John D is an individual health care provider with primary practice located at 230 W Washington Sq Suite 100, Philadelphia PA 19106-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Koethe, John D can be contacted via phone (215) 829-8420.

Contact Information

Primary practice address
230 W Washington Sq Suite 100 Philadelphia PA 19106-3500
Phone: (215) 829-8420
Fax: (215) 829-8418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 033220E Pennsylvania

Profile Details

NPI number 1194724773
LBN Legal business name Koethe, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated May 11th, 2010 - about 15 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 1194724773 NPPES
Pennsylvania MEDICAID 0000113314605
Pennsylvania Other 0000407311

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