Koerner, Michael K

Koerner, Michael K is an sole proprietor health care provider with primary practice located at 2326 Rucker Avenue , Everett WA 98201-2723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Koerner, Michael K can be contacted via phone (425) 259-5121.

Contact Information

Primary practice address
2326 Rucker Avenue Everett WA 98201-2723
Phone: (425) 259-5121
Fax: (425) 339-8517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 00024979 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00024979 Washington

Profile Details

NPI number 1558337493
LBN Legal business name Koerner, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Nov 15th, 2011 - about 15 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 1558337493 NPPES
Washington MEDICAID 1054626

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