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Contact Information

MAX W KOCH
400 INDUSTRIAL BLVD
STE 108
MANSFIELD, TX76063-2202
 Phone: 817-453-2800
 Fax: 866-409-0273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for MAX W KOCH · (Male)

NPI # 1649452707
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2007
Last updated 12/05/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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