Flack, Jeffrey Robert
Flack, Jeffrey Robert is an individual health care provider with primary practice located at 890 W Elliot Rd Suite 103, Gilbert AZ 85233-5102. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Flack, Jeffrey Robert can be contacted via phone (480) 214-4466.Contact Information
Primary practice address
890 W Elliot Rd Suite 103
Gilbert AZ 85233-5102
Phone: (480) 214-4466
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0090 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5473 | Arizona |
Profile Details
NPI number | 1275855231 |
---|---|
LBN Legal business name | Flack, Jeffrey Robert |
Credentials | PA-C, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 18th, 2010 |
Last updated | Jun 3rd, 2014 - about 10 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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