Flagg, Douglas

Flagg, Douglas is an individual health care provider with primary practice located at 1611 S Green Rd # 65 , South Euclid OH 44121-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Flagg, Douglas can be contacted via phone (216) 291-4050.

Contact Information

Primary practice address
1611 S Green Rd # 65 South Euclid OH 44121-4129
Fax: (216) 691-3524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35-056239 Ohio

Profile Details

NPI number 1821178013
LBN Legal business name Flagg, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 16th, 2010 - about 15 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 1821178013 NPPES
Ohio MEDICAID 0818075

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