Flynn, Ann Debourcy

Flynn, Ann Debourcy is an individual health care provider with primary practice located at 30 N 1900 E Som 4R118, Salt Lake City UT 84132-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Flynn, Ann Debourcy can be contacted via phone (801) 581-7803.

Contact Information

Primary practice address
30 N 1900 E Som 4R118 Salt Lake City UT 84132-0002
Phone: (801) 581-7803
Fax: (801) 581-7476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01071372A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01071372A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 8525129-1205 Utah

Profile Details

NPI number 1386790988
LBN Legal business name Flynn, Ann Debourcy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Oct 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386790988 NPPES
Indiana Other 000000772850 ANTHEM
Indiana Other P01163477 ANTHEM
Indiana MEDICAID 201078440 ANTHEM

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