Kohl, Traci M

Kohl, Traci M is an individual health care provider with primary practice located at 446 N Reading Rd Suite 301, Ephrata PA 17522-9802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kohl, Traci M can be contacted via phone (717) 733-6546.

Contact Information

Primary practice address
446 N Reading Rd Suite 301 Ephrata PA 17522-9802
Phone: (717) 733-6546
Fax: (717) 733-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD417992 Pennsylvania

Profile Details

NPI number 1841206919
LBN Legal business name Kohl, Traci M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 27th, 2015 - about 10 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 1841206919 NPPES
Pennsylvania Other 50051217 CAPITAL BLUE
Pennsylvania Other P004736 CAPITAL BLUE
Pennsylvania Other 1397460 CAPITAL BLUE
Pennsylvania Other P00261141 -GRPDD6938 CAPITAL BLUE
Pennsylvania Other P004736 CAPITAL BLUE
Pennsylvania MEDICAID 01890211 CAPITAL BLUE
Pennsylvania Other 1397460 CAPITAL BLUE

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