Flacco, Michael

Flacco, Michael is an individual health care provider with primary practice located at 1100 Pacific Ave Suite 100, Everett WA 98201-4261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Flacco, Michael can be contacted via phone (206) 244-1212.

Contact Information

Primary practice address
1100 Pacific Ave Suite 100 Everett WA 98201-4261
Phone: (206) 244-1212
Fax: (206) 244-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00017352 Washington

Profile Details

NPI number 1831180884
LBN Legal business name Flacco, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1831180884 NPPES
Washington Other 7852FL REGENCE BLUE SHIELD
Washington Other 8931039 REGENCE BLUE SHIELD
Washington Other 0175856 REGENCE BLUE SHIELD
Washington MEDICAID 1507508 REGENCE BLUE SHIELD

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