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Nicholas Burke Koch
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1891374260

Nicholas Burke Koch is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Nicholas Burke Koch practices in Charlotte, NC. The NPI Number for Nicholas Burke Koch is 1891374260 and holds a License No. 303189 (North Carolina).

The current practice location address for Nicholas Burke Koch is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-446-9243 and via fax at 704-446-9120.

Location: 1000 Blythe Blvd, Charlotte, NC, 28203-5871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891374260
Provider Name
Nicholas Burke Koch
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd, Charlotte, NC, 28203-5871
Phone Number
704-446-9243
Fax Number
704-446-9120
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5871
Phone Number
704-446-9243
Fax Number
704-446-9120
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5871
Phone Number
704-446-9243
Fax Number
704-446-9120
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
303189 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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