Kockentiet, Brett Robert
Kockentiet, Brett Robert is an individual health care provider with primary practice located at 650 Shawan Falls Dr , Dublin OH 43017-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kockentiet, Brett Robert can be contacted via phone (614) 764-1711.Contact Information
Primary practice address
650 Shawan Falls Dr
Dublin OH 43017-2100
Phone: (614) 764-1711
Fax: (614) 889-2652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35.093291 | Ohio |
Profile Details
| NPI number | 1306056171 |
|---|---|
| LBN Legal business name | Kockentiet, Brett Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Oct 15th, 2009 - about 16 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 | 1306056171 | NPPES |
| Ohio | Other | 00744474 | RR MEDICARE PIN |
| Ohio | Other | 1351 | RR MEDICARE PIN |
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