Dr. Lynne M. Koch, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

SC1909 Issued in SC

Legal business name

DR. LYNNE M. KOCH, PC

Practice address

1524 John B White Sr Blvd
Suite 3
Spartanburg, SC 29301-3878

Phone

(864) 595-4275

Fax

(864) 595-4825

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynne M Koch, DCNPI 1588677827

Title

Owner

Phone

(864) 595-4275

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynne M Koch, DC

  • Chiropractor
  • Spartanburg, SC
  • NPI 1588677827
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790825719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 JOHN B WHITE SR BLVD",
            "address_2": "SUITE 3",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013878",
            "telephone_number": "864-595-4275",
            "fax_number": "864-595-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 JOHN B WHITE SR BLVD",
            "address_2": "SUITE 3",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013878",
            "telephone_number": "864-595-4275",
            "fax_number": "864-595-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LYNNE M. KOCH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-595-4275",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.