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Contact Information

JUSTIN M KOENEMANN, DO
2401 S 31ST.
TEMPLE, TX76508
 Phone: 254-724-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JUSTIN M KOENEMANN · (Male)

NPI # 1023539046
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2017
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # T2417
Hospital affiliation(s)
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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