Provider Demographics
NPI:1528287448
Name:KOENIG, HOWARD E (DC)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:E
Last Name:KOENIG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 NW 64TH ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-1968
Mailing Address - Country:US
Mailing Address - Phone:954-421-0065
Mailing Address - Fax:954-946-4402
Practice Address - Street 1:540 E MCNAB RD STE C
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9354
Practice Address - Country:US
Practice Address - Phone:954-946-4204
Practice Address - Fax:954-946-4402
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor