Koenig, Corey Scott

Koenig, Corey Scott is an individual health care provider with primary practice located at 79 Sayles St , Southbridge MA 01550-1729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Koenig, Corey Scott can be contacted via phone (508) 764-3200.

Contact Information

Primary practice address
79 Sayles St Southbridge MA 01550-1729
Phone: (508) 764-3200
Fax: (508) 764-9600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 72556 Massachusetts

Profile Details

NPI number 1922011642
LBN Legal business name Koenig, Corey Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 21st, 2011 - about 13 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 1922011642 NPPES
Massachusetts Other 13730 HARVARD PILGRIM
Massachusetts MEDICAID 3066100 HARVARD PILGRIM
Massachusetts Other 072556 HARVARD PILGRIM

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