Koenig, Laura

Koenig, Laura is an individual health care provider with primary practice located at 500 Mcmillen St , Fort Atkinson WI 53538-1233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Koenig, Laura can be contacted via phone (920) 563-5571.

Contact Information

Primary practice address
500 Mcmillen St Fort Atkinson WI 53538-1233
Fax: (920) 563-7705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38038 Wisconsin

Profile Details

NPI number 1700881869
LBN Legal business name Koenig, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 7th, 2023 - about last year

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 1700881869 NPPES
Wisconsin MEDICAID 32420500

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