Individual ProviderJoel KochChiropractorChiropractic ProvidersPractice Address1021 Gezon Pkwy SW, Wyoming, MI 49509-9542(563) 554-0990PECOS EnrollmentBased on the most recent information from CMS, provider Joel Koch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1598165193Provider TypeIndividualFull NameKoch, JoelTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date9/2/2014Last Updated9/2/2014Contact InformationPractice LocationPractice Address1021 Gezon Pkwy SW, Wyoming, MI 49509-9542Phone(563) 554-0990Fax(810) 937-3907Mailing LocationMailing Address1021 Gezon Pkwy SW, Wyoming, MI 49509-9542Phone(563) 554-0990Fax(810) 937-3907Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense2301010241Michigan