Konigsberg, Charles

Konigsberg, Charles is an individual health care provider with primary practice located at 301 Halifax St , Petersburg VA 23803-6335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Konigsberg, Charles can be contacted via phone (804) 863-1652.

Contact Information

Primary practice address
301 Halifax St Petersburg VA 23803-6335
Phone: (804) 863-1652
Fax: (804) 862-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 0101222148 Virginia

Profile Details

NPI number 1487780490
LBN Legal business name Konigsberg, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 11th, 2010 - about 15 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 1487780490 NPPES
Virginia MEDICAID 4976053

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