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Anthony Patrick Koch

Case Manager/Care Coordinator in Mentor, OH. Individual provider (NPI-1).

NPI number1871106948
StatusActive
Last updated in NPPESSep 11, 2020

Details

NPI
1871106948
Entity type
Individual (NPI-1)
Name
Anthony Patrick Koch
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 28, 2020
Certification date
Sep 9, 2020
Last updated
Sep 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

7232 Justin Way
Mentor, OH 44060-4881

Phone 440-754-2078

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Phone 440-754-2078

Other practice locations

38882 Mentor Ave
Willoughby, OH 44094
38882 Mentor Ave
Willoughby, OH 44094-7875

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