Koenig, Michael G

Koenig, Michael G is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 2003B , Saint Louis MO 63141-8265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Koenig, Michael G can be contacted via phone (314) 251-5811.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 2003B Saint Louis MO 63141-8265
Phone: (314) 251-5811
Fax: (314) 251-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2010003226 Missouri
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 2010003226 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036136533 Illinois

Profile Details

NPI number 1720171093
LBN Legal business name Koenig, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated May 6th, 2024 - about 2 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 1720171093 NPPES
Missouri MEDICAID 1720171093
Missouri MEDICAID 2484440

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