Koth, Christopher

Koth, Christopher is an sole proprietor health care provider with primary practice located at 30387 Three Notch Road Charlotte Hall, Charlotte Hall MD 20622-3183. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Koth, Christopher can be contacted via phone (301) 884-0331.

Contact Information

Primary practice address
30387 Three Notch Road Charlotte Hall Charlotte Hall MD 20622-3183
Phone: (301) 884-0331
Fax: (301) 472-4388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 19020 Maryland

Profile Details

NPI number 1508994484
LBN Legal business name Koth, Christopher
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Oct 29th, 2008 - about 16 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 1508994484 NPPES
Maryland Other 60728701 BCBS
Maryland MEDICAID 403877100 BCBS
Maryland Other 4380001 BCBS
Maryland Other 7261400 BCBS

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