Flannery, David J

Flannery, David J is an individual health care provider with primary practice located at 201 N Main Ave , Scranton PA 18504-3303. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Flannery, David J can be contacted via phone (570) 342-4009.

Contact Information

Primary practice address
201 N Main Ave Scranton PA 18504-3303
Phone: (570) 342-4009
Fax: (570) 342-4326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003228L Pennsylvania

Profile Details

NPI number 1205808250
LBN Legal business name Flannery, David J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Sep 25th, 2008 - about 16 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 1205808250 NPPES
Pennsylvania MEDICAID 001228802001
Pennsylvania Other 073619
Pennsylvania Other 8627

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