Koenigsmark, Joseph

Koenigsmark, Joseph is an sole proprietor health care provider with primary practice located at 407 Zinnia Way , Shepherdsville KY 40165-9663. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Koenigsmark, Joseph can be contacted via phone (812) 288-8410.

Contact Information

Primary practice address
407 Zinnia Way Shepherdsville KY 40165-9663
Phone: (812) 288-8410
Fax: (812) 288-8409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 02001067A Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 02001067A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001067A Indiana
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 02001067A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 02001067A Indiana

Profile Details

NPI number 1437214731
LBN Legal business name Koenigsmark, Joseph
Credentials D.O.,M.B.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Dec 13th, 2022 - about 3 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 1437214731 NPPES
Kentucky Other 11452445 CAQH
Kentucky MEDICAID 64021611 CAQH

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