Kenigsberg, Thomas A
Kenigsberg, Thomas A is an individual health care provider with primary practice located at 222 Johnstown Center Dr , Johnstown CO 80534-9030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kenigsberg, Thomas A can be contacted via phone (970) 587-4974.Contact Information
Primary practice address
222 Johnstown Center Dr
Johnstown CO 80534-9030
Phone: (970) 587-4974
Fax: (970) 587-5466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37268 | Colorado |
Profile Details
| NPI number | 1467412650 |
|---|---|
| LBN Legal business name | Kenigsberg, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 13th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467412650 | NPPES |
| Colorado | MEDICAID | 01372689 |
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