Robert A Koch D.C.P.C. in Southgate - Chiropractor

Robert A Koch D.C.P.C. - NPI 1649460346

Robert A Koch D.C.P.C. is a Chiropractor in Southgate, Michigan. Robert A Koch D.C.P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert A Koch D.C.P.C. is 1649460346. The last update date is 2018-03-27.

Robert A Koch D.C.P.C.'s current location address is 14720 Fort St, Southgate, Michigan. You can contact this provider via phone number 7342812400 and fax number 7342811795. The mailing address for Robert A Koch D.C.P.C. is 14720 Fort St, Southgate, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert A Koch D.C.P.C.
Address 14720 Fort St, Southgate, Michigan
Phone Number 7342812400
Fax Number 7342811795
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Snyder Elizabeth Christina
Telephone Number 7342812400

NPI Number Detail

NPI Number 1649460346
Provider Enumeration Date 2007-07-28
Last Updated Date 2018-03-27

Provider Mailing Address Detail

Address 14720 Fort St
City Southgate
State Michigan (MI)
Post Code 481951217
Phone Number 7342812400
Fax Number 7342811795

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301004639
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T33835 MI --
350025410 MI RAILROAD MEDICARE
C7938 MI ACN
4504093 MI AETNA

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FAQs about Robert A Koch D.C.P.C.

What is the unique identifier code issued to Robert A Koch D.C.P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Robert A Koch D.C.P.C. has been assigned the NPI (National Provider Identifier) 1649460346. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Robert A Koch D.C.P.C.?

The Robert A Koch D.C.P.C. is physically situated at 14720 Fort St, in the city of Southgate, state of MI, with the postal code 481951217.

What is Robert A Koch D.C.P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert A Koch D.C.P.C.'s area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date was the 1649460346 assigned to Robert A Koch D.C.P.C.?

The Robert A Koch D.C.P.C. was issued its 1649460346 on 2007-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Robert A Koch D.C.P.C.'s details last updated?

The information pertaining to the Robert A Koch D.C.P.C., including its address, specialty, and other details, was most recently updated on 2018-03-27.

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