Provider Demographics
NPI:1467486654
Name:ENZINGER, PETER (RRT)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:ENZINGER
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BARTER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KITTERY POINT
Mailing Address - State:ME
Mailing Address - Zip Code:03905-5611
Mailing Address - Country:US
Mailing Address - Phone:207-439-4706
Mailing Address - Fax:
Practice Address - Street 1:5 BARTER CREEK RD
Practice Address - Street 2:
Practice Address - City:KITTERY POINT
Practice Address - State:ME
Practice Address - Zip Code:03905-5611
Practice Address - Country:US
Practice Address - Phone:207-439-4706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
METH12402279H0200X
NH8352279H0200X
MA34902279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health