Michael W Koenig in Bryan - Physician Assistant
Michael W Koenig - NPI 1457317422
Michael W Koenig is a Physician Assistant in Bryan, Ohio. Michael W Koenig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael W Koenig is 1457317422. The last update date is 2022-12-12.
Michael W Koenig's current location address is 442 W High St Ste 3, Bryan, Ohio. You can contact this provider via phone number 4196364517 and fax number 4196366438. The mailing address for Michael W Koenig is 442 W High St Ste 3, Bryan, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael W Koenig |
|---|---|
| Address | 442 W High St Ste 3, Bryan, Ohio |
| Phone Number | 4196364517 |
| Fax Number | 4196366438 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457317422 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 442 W High St Ste 3 |
|---|---|
| City | Bryan |
| State | Ohio (OH) |
| Post Code | 435061681 |
| Phone Number | 4196364517 |
| Fax Number | 4196366438 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103933 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D1248 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael W Koenig by the Centers for Medicare & Medicaid Services?
The Michael W Koenig has been assigned the NPI (National Provider Identifier) 1457317422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Michael W Koenig is physically located?
The Michael W Koenig is physically situated at the following address: 442 W High St Ste 3, Bryan, OH, 435061681.
What is Michael W Koenig's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael W Koenig's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Michael W Koenig receive its 1457317422 assignment from the Centers for Medicare & Medicaid Services?
The Michael W Koenig was assigned its 1457317422 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michael W Koenig, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael W Koenig, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY