Flanzenbaum, Mark A

Flanzenbaum, Mark A is an individual health care provider with primary practice located at 5021 Craig Rath Blvd Bldg 4 , Midlothian VA 23112-6243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Flanzenbaum, Mark A can be contacted via phone (804) 592-5437.

Contact Information

Primary practice address
5021 Craig Rath Blvd Bldg 4 Midlothian VA 23112-6243
Phone: (804) 592-5437
Fax: (804) 474-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101047168 Virginia

Profile Details

NPI number 1134129398
LBN Legal business name Flanzenbaum, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 17th, 2014 - about 11 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 1134129398 NPPES
Virginia MEDICAID 5859433

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