Provider Demographics
NPI:1033382718
Name:ROFKAR, DENNIS B
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:B
Last Name:ROFKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7234
Mailing Address - Country:US
Mailing Address - Phone:907-747-3641
Mailing Address - Fax:
Practice Address - Street 1:820 CHARLES ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7234
Practice Address - Country:US
Practice Address - Phone:907-747-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist