Flatt, Wayne

Flatt, Wayne is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Flatt, Wayne can be contacted via phone (931) 551-1795.

Contact Information

Primary practice address
651 Dunlop Ln Clarksville TN 37040-5015
Phone: (931) 551-1795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 055138 Tennessee

Profile Details

NPI number 1255331856
LBN Legal business name Flatt, Wayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jan 12th, 2009 - 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 1255331856 NPPES
Tennessee Other 4048925 BCBS NUMBER
Tennessee MEDICAID 74006248 BCBS NUMBER
Tennessee MEDICAID 3631917 BCBS NUMBER
Tennessee MEDICAID 009910775 BCBS NUMBER

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