Flock, Jens Baggesen
Flock, Jens Baggesen is an sole proprietor health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Flock, Jens Baggesen can be contacted via phone (386) 425-4000.Contact Information
Primary practice address
303 N Clyde Morris Blvd
Daytona Beach FL 32114-2709
Phone: (386) 425-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME146639 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 201153 | North Carolina |
Profile Details
NPI number | 1457779803 |
---|---|
LBN Legal business name | Flock, Jens Baggesen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 2nd, 2014 |
Last updated | Oct 8th, 2020 - about 4 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 | 1457779803 | NPPES |
North Carolina | MEDICAID | 201153 |
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