Kokmeyer, Dirk
Kokmeyer, Dirk is an sole proprietor health care provider with primary practice located at 22 Station Ave Ste 201 , Brunswick ME 04011-2092. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kokmeyer, Dirk can be contacted via phone (207) 721-8411.Contact Information
Primary practice address
22 Station Ave Ste 201
Brunswick ME 04011-2092
Phone: (207) 721-8411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT4610 | Maine |
Profile Details
| NPI number | 1093980484 |
|---|---|
| LBN Legal business name | Kokmeyer, Dirk |
| Credentials | PT, SCS, COMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Sep 8th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093980484 | NPPES |
| Maine | MEDICAID | 1093980484 |
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