Provider Demographics
NPI:1538601562
Name:KOESTER, MARGARET JEANNE (AUD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:JEANNE
Last Name:KOESTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 SAM FURR RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4928
Mailing Address - Country:US
Mailing Address - Phone:704-896-1909
Mailing Address - Fax:
Practice Address - Street 1:9710 SAM FURR RD UNIT D
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4928
Practice Address - Country:US
Practice Address - Phone:702-896-1909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12207231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSAN139Medicaid
SCSAN139Medicaid