Flisak, Michael Thomas
Flisak, Michael Thomas is an individual health care provider with primary practice located at 3500 Franciscan Way Ste 400 , Michigan City IN 46360-0021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Flisak, Michael Thomas can be contacted via phone (219) 878-8200.Contact Information
Primary practice address
3500 Franciscan Way Ste 400
Michigan City IN 46360-0021
Phone: (219) 878-8200
Fax: (219) 877-8331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036118827 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 55811 | Wisconsin |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036118827 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 02005248 | Indiana |
Profile Details
| NPI number | 1548426943 |
|---|---|
| LBN Legal business name | Flisak, Michael Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2008 |
| Last updated | Mar 5th, 2019 - about 5 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 | 1548426943 | NPPES |
| Illinois | Other | P01078187 | RR MEDICARE |
| Illinois | Other | 01621208 | RR MEDICARE |
| Illinois | MEDICAID | 300009476 | RR MEDICARE |
| Illinois | Other | 1508810086 | RR MEDICARE |
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