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Contact Information

LUKE DECKERT
184 CLARK POINT RD
SOUTHWEST HARBOR, ME04679-4414
 Phone: 207-244-4678
 Fax: 207-244-4613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for LUKE DECKERT · (Male)

NPI # 1770274151
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2023
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ME License # E3270814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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