Koenig, David M.

Koenig, David M. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anesthesiology, Worcester MA 01655-0002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koenig, David M. can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Department Of Anesthesiology Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN2282787 Massachusetts

Profile Details

NPI number 1972849404
LBN Legal business name Koenig, David M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Jul 17th, 2019 - about 7 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 1972849404 NPPES
Massachusetts MEDICAID 110106909A

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