Matthew David Koehler
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Orient, OH
NPI 1972964443 · NPPES record last updated Mar 11, 2016
Key facts
- NPI
- 1972964443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 15403 Matville Rd
Orient, OH 43146-9725 - Phone
- (614) 464-7212
- NPI assigned
- Mar 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
15403 Matville Rd
Orient, OH 43146-9725
Mailing address
15403 Matville Rd
Orient, OH 43146-9725
Phone (614) 464-7212
Other providers in Orient, OH
- Annette Janelle Johnson
- Beth Jones
- Darlene K Kiner
- Stephanie Lynn Kingery
- Hillari Klynn
- Maggie Lambert
- Danielle Dawn Lane
- Catherine Alyssa Larowe
- Ashlea M Lawson
- Sheila Lester
All providers in Orient, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.