Active NPIIndividual providerSole proprietor

Ms. Shannon A Koch, MS, ATC

Specialist/Technologist, Athletic Trainer in Princeton, New Jersey

NPI Number1952687428
Practice location
151 Moore St, Princeton, NJ 08540-3312
Fax
609-806-4288
Last updated
October 28, 2011

Shannon A. Koch is a Specialist/Technologist, Athletic Trainer based in Princeton, NJ. Shannon A. Koch practices in Princeton, NJ and has the professional credentials of MS, ATC. The NPI Number for Shannon A. Koch is 1952687428 and holds a License No. 25mt00087100. The current practice location address for Shannon A. Koch is 151 Moore St, Princeton, NJ 08540-3312 and can be reached out via phone at 609-806-4289 and via fax at 609-806-4288.

Provider Profile Details

NPI Number
1952687428
Provider Name
Shannon A. Koch
Credential
MS, ATC
Provider Entity Type
Individual
Gender
Female
Address
151 Moore St, Princeton, NJ 08540-3312
Phone Number
609-806-4289
Fax Number
609-806-4288
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2011
Last Update Date
October 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Moore St
Princeton, NJ 08540-3312
Zip
08540-3312
Phone Number
609-806-4289
Fax Number
609-806-4288
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
151 Moore St
Princeton, NJ 08540-3312
City
Princeton
State
NJ
Zip
08540-3312
Phone Number
609-806-4289
Fax Number
609-806-4288

License Information

License Number
25mt00087100
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shannon A Koch, MS, ATC?

The NPI number of Ms. Shannon A Koch, MS, ATC is 1952687428. It was assigned on October 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Shannon A Koch, MS, ATC?

Ms. Shannon A Koch, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed under license number 25mt00087100.

Where does Ms. Shannon A Koch, MS, ATC practice?

The practice location is 151 Moore St, Princeton, NJ 08540-3312. The office can be reached at 609-806-4289 (phone) or 609-806-4288 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952687428 directly on the NPPES registry website.

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