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Contact Information

MARY KOCH
801 E WILLIAMS AVE
FALLON, NV89406
 Phone: 775-867-7086
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARY KOCH · (Female)

NPI # 1164848115
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2014
Last updated 05/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 32648-DI-2
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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