Konikow, Joel C
Konikow, Joel C is an sole proprietor health care provider with primary practice located at 600 Broadway Suite 530, Seattle WA 98122-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Konikow, Joel C can be contacted via phone (206) 789-5418.Contact Information
Primary practice address
600 Broadway Suite 530
Seattle WA 98122-5229
Phone: (206) 789-5418
Fax: (206) 784-9744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD00014204 | Washington |
Profile Details
| NPI number | 1215007091 |
|---|---|
| LBN Legal business name | Konikow, Joel C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Aug 31st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215007091 | NPPES |
| Washington | MEDICAID | 2015306 |
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