Flanagan, Michael O.
Flanagan, Michael O. is an individual health care provider with primary practice located at 4209 Montgomery Blvd Ne , Albuquerque NM 87109-1103. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Flanagan, Michael O. can be contacted via phone (505) 884-1700.Contact Information
Primary practice address
4209 Montgomery Blvd Ne
Albuquerque NM 87109-1103
Phone: (505) 884-1700
Fax: (505) 884-0510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 85-176 | New Mexico |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 85-176 | New Mexico |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | 85-176 | New Mexico |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 85-176 | New Mexico |
Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 85-176 | New Mexico |
Profile Details
NPI number | 1497756670 |
---|---|
LBN Legal business name | Flanagan, Michael O. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497756670 | NPPES |
New Mexico | MEDICAID | F7519 |
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