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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1093980484 NPPES
Maine MEDICAID 1093980484

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