Koshy, Betty

Koshy, Betty is an individual health care provider with primary practice located at 820 Lester Ave , Saint Joseph MI 49085-2561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Koshy, Betty can be contacted via phone (269) 985-0029.

Contact Information

Primary practice address
820 Lester Ave Saint Joseph MI 49085-2561
Phone: (269) 985-0029
Fax: (269) 985-0040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301032733 Michigan

Profile Details

NPI number 1437155561
LBN Legal business name Koshy, Betty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 25th, 2007 - about 18 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 1437155561 NPPES
Michigan MEDICAID 4647527
Michigan Other 11-0111404-1
Michigan Other 36-30032

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