Koenig, George Joseph

Koenig, George Joseph is an individual health care provider with primary practice located at 1100 Walnut St Suite 500, Philadelphia PA 19107-5563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Koenig, George Joseph can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Suite 500 Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OT010389 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X OS014781 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X H69369 Maryland
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X H69369 Maryland

Profile Details

NPI number 1144490004
LBN Legal business name Koenig, George Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 25th, 2015 - about 9 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 1144490004 NPPES
Pennsylvania MEDICAID 102494600
Pennsylvania MEDICAID 023819800
Pennsylvania MEDICAID 0231724

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