Flagle, Judith R

Flagle, Judith R is an sole proprietor health care provider with primary practice located at 2400 Lakeview Dr Ste 102 , Amarillo TX 79109-1532. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Flagle, Judith R can be contacted via phone (806) 468-9400.

Contact Information

Primary practice address
2400 Lakeview Dr Ste 102 Amarillo TX 79109-1532
Phone: (806) 468-9400
Fax: (806) 468-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 100501 Texas

Profile Details

NPI number 1356454342
LBN Legal business name Flagle, Judith R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 18th, 2012 - about 13 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 1356454342 NPPES
Texas Other 8T1107;8T1539 BCBS
Texas MEDICAID 089144204 BCBS

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