Konecke, Lee

Konecke, Lee is an individual health care provider with primary practice located at 676 Dekalb Pike Ste 101, Blue Bell PA 19422-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Konecke, Lee can be contacted via phone (610) 279-7696.

Contact Information

Primary practice address
676 Dekalb Pike Ste 101 Blue Bell PA 19422-1223
Fax: (610) 279-7782
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD010173E Pennsylvania

Profile Details

NPI number 1508861337
LBN Legal business name Konecke, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 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 1508861337 NPPES
Pennsylvania MEDICAID 0006943220017

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