Flacke, Sebastian

Flacke, Sebastian is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Flacke, Sebastian can be contacted via phone (781) 744-8170.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8170
Fax: (781) 744-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 230805 Massachusetts

Profile Details

NPI number 1235326018
LBN Legal business name Flacke, Sebastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Dec 7th, 2010 - about 16 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 1235326018 NPPES
Massachusetts MEDICAID 110084778A

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