Flagel, Jeremy David

Flagel, Jeremy David is an individual health care provider with primary practice located at 1885 Ne Purcell Blvd , Bend OR 97701-6022. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Flagel, Jeremy David can be contacted via phone (206) 713-5610.

Contact Information

Primary practice address
1885 Ne Purcell Blvd Bend OR 97701-6022
Phone: (206) 713-5610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A96061 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD166314 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD452028 Pennsylvania

Profile Details

NPI number 1154354629
LBN Legal business name Flagel, Jeremy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Apr 7th, 2023 - about 2 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 1154354629 NPPES
Pennsylvania MEDICAID 102958665

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