Provider Demographics
NPI:1659171627
Name:KOENIG, JOELI EMMA (DC)
Entity type:Individual
Prefix:
First Name:JOELI
Middle Name:EMMA
Last Name:KOENIG
Suffix:
Gender:
Credentials:DC
Other - Prefix:DR
Other - First Name:JOELI
Other - Middle Name:EMMA
Other - Last Name:KOENIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:102 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:FERTILE
Mailing Address - State:IA
Mailing Address - Zip Code:50434-7702
Mailing Address - Country:US
Mailing Address - Phone:515-351-8651
Mailing Address - Fax:
Practice Address - Street 1:1315 6TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4815
Practice Address - Country:US
Practice Address - Phone:641-201-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor