Flynn, Shaun Michael

Flynn, Shaun Michael is an individual health care provider with primary practice located at 111 Brewster St, Fcc A , Pawtucket RI 02860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flynn, Shaun Michael can be contacted via phone (401) 729-2304.

Contact Information

Primary practice address
111 Brewster St, Fcc A Pawtucket RI 02860
Fax: (401) 729-2541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LP0414 Rhode Island

Profile Details

NPI number 1427578400
LBN Legal business name Flynn, Shaun Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Jun 16th, 2018 - about 8 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 1427578400 NPPES
Rhode Island Other LP04114 STATE OF RHODE ISLAND

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