Flack, Derek

Flack, Derek is an individual health care provider with primary practice located at 2841 Avenue G , White City OR 97503-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flack, Derek can be contacted via phone (309) 672-4977.

Contact Information

Primary practice address
2841 Avenue G White City OR 97503-3024
Phone: (309) 672-4977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO191255 Oregon

Profile Details

NPI number 1679923098
LBN Legal business name Flack, Derek
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 20th, 2019 - about 7 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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