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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306056171 NPPES
Ohio Other 00744474 RR MEDICARE PIN
Ohio Other 1351 RR MEDICARE PIN

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