Individual
JEANMARIE KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT,RCP
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
A-2946
NC
227800000X
Certified Respiratory Therapist
Primary
TL5894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016W0
BCBS GROUP#
NC
01
—
1386Y
BCBS INDIVIDUAL#
NC
01
—
1942300108
NPI GROUP
NC
05
—
7211265
—
NC
05
—
7492633
—
NC
Enumeration date
02/21/2007
Last updated
08/11/2016
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