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Benjamin Koch, FNP-BC
Family Nurse Practitioner in Valparaiso, Indiana
NPI 1790141273

Benjamin Koch is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Benjamin Koch practices in Valparaiso, IN and has the professional credentials of FNP-BC. The NPI Number for Benjamin Koch is 1790141273 and holds a License No. 71006049B (Indiana).

The current practice location address for Benjamin Koch is 2421 Laporte Ave, Valparaiso, IN and can be reached out via phone at 219-462-6192.

Location: 2421 Laporte Ave, Valparaiso, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790141273
Provider Name
Benjamin Koch
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
2421 Laporte Ave, Valparaiso, IN, 48278-1076
Phone Number
219-462-6192
Fax Number
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201345340 05 IN
institution
Provider Business Practice Location Address Details
Address
2421 Laporte Ave
City
Valparaiso
State
Indiana
Zip
46383-6914
Phone Number
219-462-6192
Fax Number
person
Provider Business Mailing Address Details
Address
2421 Laporte Ave
City
Valparaiso
State
Indiana
Zip
46383-6914
Phone Number
219-462-6192
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71006049B (Indiana)
Definition
Definition to come...
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