Blachly-Flanagan, Theresa

Blachly-Flanagan, Theresa is an sole proprietor health care provider with primary practice located at 700 E 1St St , Dayton OH 45402-1303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Blachly-Flanagan, Theresa can be contacted via phone (937) 641-4040.

Contact Information

Primary practice address
700 E 1St St Dayton OH 45402-1303
Phone: (937) 641-4040
Fax: (937) 641-3066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-077903 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35.077903 Ohio

Profile Details

NPI number 1285716480
LBN Legal business name Blachly-Flanagan, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jan 5th, 2024 - 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 1285716480 NPPES
Ohio MEDICAID 2195253

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