Kostelnik, K. Erik
Kostelnik, K. Erik is an individual health care provider with primary practice located at 50 Sewall St , Portland ME 04102-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kostelnik, K. Erik can be contacted via phone (207) 775-3526.Contact Information
Primary practice address
50 Sewall St
Portland ME 04102-2624
Phone: (207) 775-3526
Fax: (207) 775-5658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 014713 | Maine |
Profile Details
NPI number | 1346289683 |
---|---|
LBN Legal business name | Kostelnik, K. Erik |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Oct 16th, 2008 - 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 | 1346289683 | NPPES |
Maine | MEDICAID | 431499999 |
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