Koenig, Gary A.
Koenig, Gary A. is an individual health care provider with primary practice located at 1120 N 103Rd Plz Suite 102, Omaha NE 68114-1114. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Koenig, Gary A. can be contacted via phone (402) 354-0120.Contact Information
Primary practice address
1120 N 103Rd Plz Suite 102
Omaha NE 68114-1114
Phone: (402) 354-0120
Fax: (402) 354-0125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17844 | Nebraska |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 17844 | Nebraska |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 17844 | Nebraska |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 17844 | Nebraska |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 23943 | Iowa |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23943 | Iowa |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 23943 | Iowa |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 23943 | Iowa |
Profile Details
NPI number | 1942204656 |
---|---|
LBN Legal business name | Koenig, Gary A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Aug 22nd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942204656 | NPPES |
Nebraska | MEDICAID | 10026480109 | |
Nebraska | MEDICAID | 1942204656 |
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