Flanagan, Michael P

Flanagan, Michael P is an individual health care provider with primary practice located at 1850 E Park Ave Ste 312 , State College PA 16803-6706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flanagan, Michael P can be contacted via phone (814) 235-2480.

Contact Information

Primary practice address
1850 E Park Ave Ste 312 State College PA 16803-6706
Phone: (814) 235-2480
Fax: (814) 235-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD045512E Pennsylvania

Profile Details

NPI number 1568427391
LBN Legal business name Flanagan, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Oct 14th, 2019 - about 6 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 1568427391 NPPES
Pennsylvania MEDICAID 0012014980005

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