Flynn, Patrick R

Flynn, Patrick R is an individual health care provider with primary practice located at 3900 Lakeville Hwy , Petaluma CA 94954-5698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flynn, Patrick R can be contacted via phone (707) 765-3900.

Contact Information

Primary practice address
3900 Lakeville Hwy Petaluma CA 94954-5698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G80566 California

Profile Details

NPI number 1770567745
LBN Legal business name Flynn, Patrick R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jan 4th, 2022 - about 2 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 1770567745 NPPES
California MEDICAID 00G805660

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