Koenig, Carrie Jean

Koenig, Carrie Jean is an individual health care provider with primary practice located at 1128 Duff Ave , Ames IA 50010-3014. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Koenig, Carrie Jean can be contacted via phone (515) 239-4460.

Contact Information

Primary practice address
1128 Duff Ave Ames IA 50010-3014
Phone: (515) 239-4460
Fax: (515) 956-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002178 Iowa

Profile Details

NPI number 1881684652
LBN Legal business name Koenig, Carrie Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881684652 NPPES
Iowa MEDICAID 0215749

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