Flatt, John Tyler

Flatt, John Tyler is an individual health care provider with primary practice located at 111 17Th Ave E Ste 101 , Alexandria MN 56308-3734. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Flatt, John Tyler can be contacted via phone (320) 762-1144.

Contact Information

Primary practice address
111 17Th Ave E Ste 101 Alexandria MN 56308-3734
Phone: (320) 762-1144
Fax: (320) 762-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1805 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 279-04/06 North Dakota

Profile Details

NPI number 1245333103
LBN Legal business name Flatt, John Tyler
Credentials M.S., A.T.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 7th, 2014 - about 10 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 1245333103 NPPES
Other 020402094 NATABOC CERTIFICATION #
Other 279-04/06 NATABOC CERTIFICATION #
Other 1805 NATABOC CERTIFICATION #

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