Flake, Charles R

Flake, Charles R is an individual health care provider with primary practice located at 3003 Island Crest Way , Mercer Is WA 98040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Flake, Charles R can be contacted via phone (206) 232-5400.

Contact Information

Primary practice address
3003 Island Crest Way Mercer Is WA 98040
Phone: (206) 232-5400
Fax: (206) 232-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00020623 Washington

Profile Details

NPI number 1548373814
LBN Legal business name Flake, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548373814 NPPES
Washington MEDICAID 1227305
Washington Other F415

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