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
Fax: (207) 775-5658
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346289683 NPPES
Maine MEDICAID 431499999

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