Konik, Doreen

Konik, Doreen is an individual health care provider with primary practice located at 11 Old Park Ln , New Milford CT 06776-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Konik, Doreen can be contacted via phone (860) 355-1149.

Contact Information

Primary practice address
11 Old Park Ln New Milford CT 06776-2507
Phone: (860) 355-1149
Fax: (860) 355-5957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42886 Connecticut

Profile Details

NPI number 1205808417
LBN Legal business name Konik, Doreen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 19th, 2024 - about 7 months 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 1205808417 NPPES
Connecticut Other 010042886CT01 ANTHEM BC/BS
Connecticut Other 2V7088 ANTHEM BC/BS
Connecticut MEDICAID 001428863 ANTHEM BC/BS
Connecticut Other P3597904 ANTHEM BC/BS
Connecticut Other 4300290 ANTHEM BC/BS
Connecticut Other 042886 ANTHEM BC/BS

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