Flake, Alan W

Flake, Alan W is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Flake, Alan W can be contacted via phone (215) 590-2730.

Contact Information

Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104-4306
Phone: (215) 590-2730
Fax: (215) 590-4875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD059803L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD059803L Pennsylvania

Profile Details

NPI number 1528149697
LBN Legal business name Flake, Alan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 13th, 2013 - about 12 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 1528149697 NPPES
Pennsylvania MEDICAID 001512961

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