Koller, Jessica Alexis

Koller, Jessica Alexis is an individual health care provider with primary practice located at 2 Medical Park Rd , Columbia SC 29203-6808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Koller, Jessica Alexis can be contacted via phone (203) 470-1558.

Contact Information

Primary practice address
2 Medical Park Rd Columbia SC 29203-6808
Phone: (203) 470-1558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 1339 South Carolina

Profile Details

NPI number 1992042360
LBN Legal business name Koller, Jessica Alexis
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2013
Last updated Jan 5th, 2013 - about 12 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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