Fleetwood, Linval Keith
Fleetwood, Linval Keith is an sole proprietor health care provider with primary practice located at 1415 Broadway Blvd , Flint MI 48506-3530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fleetwood, Linval Keith can be contacted via phone (810) 239-7684.Contact Information
Primary practice address
1415 Broadway Blvd
Flint MI 48506-3530
Phone: (810) 239-7684
Fax: (810) 239-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | LF034519 | Michigan |
Profile Details
| NPI number | 1235122185 |
|---|---|
| LBN Legal business name | Fleetwood, Linval Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Oct 8th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235122185 | NPPES |
| Michigan | MEDICAID | 433953810 |
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