Luke Deckert
Individual provider Active NPI Independent Duty Corpsman · Southwest Harbor, ME
NPI 1770274151 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1770274151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 184 Clark Point Rd
Southwest Harbor, ME 04679-4414 - Phone
- (207) 244-4678
- Fax
- (207) 244-4613
- NPI assigned
- May 17, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3270814 | ME | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3270814 | ME | |
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
184 Clark Point Rd
Southwest Harbor, ME 04679-4414
Mailing address
184 Clark Point Rd
Southwest Harbor, ME 04679-4414
Phone (207) 244-4678
Other providers in Southwest Harbor, ME
- Hilary C Chermak
- Bartholomew Clayton
- Maddrey Alicia Coover
- Mary Dalheim
- Kary G Davidson
- Ann M Dundon
- Kari Collins Guillen
- Tanya Hanke
- Michael A Heniser
- Monica Jones
All providers in Southwest Harbor, ME · Independent Duty Corpsman in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.