Koenig, Mark Alan

Koenig, Mark Alan is an individual health care provider with primary practice located at 742 Massachusetts Ave , Arlington MA 02474. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Koenig, Mark Alan can be contacted via phone (781) 646-7301.

Contact Information

Primary practice address
742 Massachusetts Ave Arlington MA 02474
Phone: (781) 646-7301
Fax: (781) 643-8726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts

Profile Details

NPI number 1215073101
LBN Legal business name Koenig, Mark Alan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 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 1215073101 NPPES
Other 99618201 NETWORK HLTH
Other 1004745 NETWORK HLTH
MEDICAID 1303287 NETWORK HLTH
Other 1303287 NETWORK HLTH
Other NP01332 NETWORK HLTH
Other 703136 NETWORK HLTH
Other M18633 NETWORK HLTH

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