Koontz, Paul William

Koontz, Paul William is an individual health care provider with primary practice located at 1000 E Primrose St Ste 550 , Springfield MO 65807-5180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Koontz, Paul William can be contacted via phone (417) 269-4647.

Contact Information

Primary practice address
1000 E Primrose St Ste 550 Springfield MO 65807-5180
Phone: (417) 269-4647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2002028070 Missouri

Profile Details

NPI number 1437228152
LBN Legal business name Koontz, Paul William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 2007 - about 17 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 1437228152 NPPES
Missouri Other 159012 BLUECROSS BLUESHIELD

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