Flynn, Dale Timothy

Flynn, Dale Timothy is an individual health care provider with primary practice located at 21616 76Th Ave W Suite 112 , Edmonds WA 98026-7512. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Flynn, Dale Timothy can be contacted via phone (425) 775-6651.

Contact Information

Primary practice address
21616 76Th Ave W Suite 112 Edmonds WA 98026-7512
Phone: (425) 775-6651
Fax: (425) 670-6718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001028 Washington

Profile Details

NPI number 1912016635
LBN Legal business name Flynn, Dale Timothy
Credentials MSPA CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 1st, 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 1912016635 NPPES
Washington MEDICAID 8338444
Washington Other 9002478

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