Koenke, Douglas William

Koenke, Douglas William is an sole proprietor health care provider with primary practice located at 42850 Schoenherr Rd Suite 5, Sterling Heights MI 48313-2875. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koenke, Douglas William can be contacted via phone (586) 566-0088.

Contact Information

Primary practice address
42850 Schoenherr Rd Suite 5 Sterling Heights MI 48313-2875
Phone: (586) 566-0088
Fax: (586) 566-0568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13000 Michigan

Profile Details

NPI number 1942288865
LBN Legal business name Koenke, Douglas William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1942288865 NPPES
Michigan Other 13000 DENTAL LICENSE

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