Dinkla, Hendrik

Dinkla, Hendrik is an sole proprietor health care provider with primary practice located at 10050 Sw Innovation Way Suite 102 10050 Sw Innovation Way Suite 102, Port Saint Lucie FL 34987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dinkla, Hendrik can be contacted via phone (772) 344-3811.

Contact Information

Primary practice address
10050 Sw Innovation Way Suite 102 10050 Sw Innovation Way Suite 102 Port Saint Lucie FL 34987
Fax: (772) 335-2422
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME53372 Florida

Profile Details

NPI number 1407899560
LBN Legal business name Dinkla, Hendrik
Credentials ME53372
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 31st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407899560 NPPES
Florida MEDICAID 0447625-00

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