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PATRICK H KOCH CBIS
NPI 1730409392
Specialist in Grand Rapids, MI

Active since June 07, 2010
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040(616) 940-8151 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patrick H Koch Cbis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK H KOCH CBIS (NPI 1730409392) is an individual specialist in Grand Rapids, Michigan, licensed in Michigan (1255) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1730409392
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePATRICK H KOCHCredential: CBIS
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336 · (616) 940-0040 · Fax (616) 940-8151
Phone(616) 940-0040
Fax(616) 940-8151
Sole ProprietorNo
Enumeration DateJune 7, 2010
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1730409392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 1255
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD KEITH SMEDLEY RMA
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
SAMANTHA KAY RASTALL
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 248-5205
JENNIFER JOHNSON
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (000) 000-0000
MRS. KWANYAH SEAWOOD SANDIFER
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
DEVAN ALEXIS COURTLAND
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (855) 407-7575
JULIE DALTON
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
BRITTENY JEAN ALDRICH
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 788-5955
DANIELLE SUZANNE DETTMANN
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (269) 804-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Koch's NPI number?

The NPI number for Patrick Koch is 1730409392. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Patrick Koch located?

Patrick Koch practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Patrick Koch's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Patrick Koch was last updated on August 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.