Flint, Delwin Gary

Flint, Delwin Gary is an individual health care provider with primary practice located at 1160 W Elm Ave , Hermiston OR 97838. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Flint, Delwin Gary can be contacted via phone (541) 567-6623.

Contact Information

Primary practice address
1160 W Elm Ave Hermiston OR 97838
Fax: (541) 564-0277
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1382ATI Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 1222 Washington

Profile Details

NPI number 1356460075
LBN Legal business name Flint, Delwin Gary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Apr 5th, 2011 - about 13 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 1356460075 NPPES
Oregon MEDICAID 023515

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