Koenig, Jaime Wachter

Koenig, Jaime Wachter is an individual health care provider with primary practice located at 125 Alpine Circle , Columbia SC 29223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Koenig, Jaime Wachter can be contacted via phone (803) 779-3548.

Contact Information

Primary practice address
125 Alpine Circle Columbia SC 29223
Fax: (803) 779-7055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13005 South Carolina

Profile Details

NPI number 1992779607
LBN Legal business name Koenig, Jaime Wachter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1992779607 NPPES
South Carolina MEDICAID 130058
South Carolina MEDICAID 400186
South Carolina Other 582296052001

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