Flanders, David J

Flanders, David J is an sole proprietor health care provider with primary practice located at 1320 W Bird Blvd , Peoria IL 61615-1406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Flanders, David J can be contacted via phone (309) 360-0189.

Contact Information

Primary practice address
1320 W Bird Blvd Peoria IL 61615-1406
Phone: (309) 360-0189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036068713 Illinois

Profile Details

NPI number 1396783510
LBN Legal business name Flanders, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 13th, 2012 - 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 1396783510 NPPES
Illinois Other 220011118 RAILROAD MEDICARE
Illinois MEDICAID 0360687131 RAILROAD MEDICARE

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