Koenig, Gary David
Koenig, Gary David is an sole proprietor health care provider with primary practice located at 100 Village Sq , Hazelwood MO 63042-1820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Koenig, Gary David can be contacted via phone (314) 355-4010.Contact Information
Primary practice address
100 Village Sq
Hazelwood MO 63042-1820
Phone: (314) 355-4010
Fax: (314) 355-9484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MDR3G44 | Missouri |
Profile Details
| NPI number | 1861485724 |
|---|---|
| LBN Legal business name | Koenig, Gary David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Sep 2nd, 2016 - about 10 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 | 1861485724 | NPPES |
| Missouri | MEDICAID | 202823316 |
Popular Providers
-
Anandu, Darshan P
1140 Westmont Dr Ste 350 , Houston TX 77015-4368 -
Jacobson, Dan G.
2960 Ne Heather Ct , Jensen Beach FL 34957-5066 -
Bialecki, Eldad Shaul
100 Village Sq , Hazelwood MO 63042-1820 -
Willis, Samuel M
2739 Laurel St 1-A, Columbia SC 29204-2028 -
Stelzer, Frederic A
1501 N Cedar Crest Blvd Suite 110, Allentown PA 18104-2309 -
Margolis, David M
100 Village Sq , Hazelwood MO 63042-1820 -
Berger, Jeffrey N
1 Dakota Dr Suite 310, New Hyde Park NY 11042-1119 -
Gregory, David Max
3435 Nw 56Th St Ste 314, Oklahoma City OK 73112-4414