Koenig, Jennifer

Koenig, Jennifer is an individual health care provider with primary practice located at 2828 International Cir Suite 100, Colorado Springs CO 80910-3127. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Koenig, Jennifer can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
2828 International Cir Suite 100 Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 002023446 Colorado

Profile Details

NPI number 1609113364
LBN Legal business name Koenig, Jennifer
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2013
Last updated Apr 26th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609113364 NPPES
Colorado MEDICAID 01253565

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