Fleak, Michele Dawn

Fleak, Michele Dawn is an individual health care provider with primary practice located at 515 Union Ave Suite 187, Dover OH 44622-3004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fleak, Michele Dawn can be contacted via phone (330) 343-4411.

Contact Information

Primary practice address
515 Union Ave Suite 187 Dover OH 44622-3004
Fax: (330) 364-1114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35079313 Ohio

Profile Details

NPI number 1033193347
LBN Legal business name Fleak, Michele Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Aug 5th, 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 1033193347 NPPES
Ohio MEDICAID 2323239

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