| Joanne Koster Pllc | |
|
219 Commerce St Ste B Greenville NC 27858-5031 | |
| (252) 714-4324 | |
| (252) 756-7572 |
| Full Name | Joanne Koster Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 219 Commerce St Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Joanne Koster (MANAGER) |
| Authorized Official Contact | 2527144324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Koster Pllc 6012 Nc 43 S Greenville NC 27858-9073 Ph: (252) 714-4324 | Joanne Koster Pllc 219 Commerce St Ste B Greenville NC 27858-5031 Ph: (252) 714-4324 |
| NPI Number | 1205069903 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 0547306458 |
|---|---|
| Medicare Enrollment ID | O20091007000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205069903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004505 (North Carolina) | Primary |
| Provider Name | Joanne F Koster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386854487 PECOS PAC ID: 4981750874 Enrollment ID: I20091007000302 |
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