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Contact Information

DANIELLE KOCH
1248 HUFFMAN MILL RD STE 101
BURLINGTON, NC27215-8700
 Phone: 336-890-3390
 Fax: 336-890-3391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANIELLE KOCH · (Female)

NPI Number 1114434255
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2018
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # PA.1500
  • NC License # 0010-07795
  • NC License # 001017795
Hospital affiliation(s)
  • UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care)
    619 SOUTH 19TH STREET
    BIRMINGHAM, AL 35233
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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