Flynn, Dedra M

Flynn, Dedra M is an individual health care provider with primary practice located at 1330 Exchange St Suite 201, Middlebury VT 05753-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Flynn, Dedra M can be contacted via phone (802) 388-7959.

Contact Information

Primary practice address
1330 Exchange St Suite 201 Middlebury VT 05753-4464
Phone: (802) 388-7959
Fax: (802) 388-8136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420010996 Vermont

Profile Details

NPI number 1598754012
LBN Legal business name Flynn, Dedra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 26th, 2013 - about 11 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 1598754012 NPPES
New York MEDICAID 02681818
New York MEDICAID 1011760

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