Koenig, Michael G
Koenig, Michael G is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 2003B , Saint Louis MO 63141-8265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Koenig, Michael G can be contacted via phone (314) 251-5811.Contact Information
Primary practice address
621 S New Ballas Rd Ste 2003B
Saint Louis MO 63141-8265
Phone: (314) 251-5811
Fax: (314) 251-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2010003226 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 2010003226 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036136533 | Illinois |
Profile Details
| NPI number | 1720171093 |
|---|---|
| LBN Legal business name | Koenig, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2006 |
| Last updated | May 6th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720171093 | NPPES |
| Missouri | MEDICAID | 1720171093 | |
| Missouri | MEDICAID | 2484440 |
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