Flake, William K..

Flake, William K.. is an individual health care provider with primary practice located at 211 Carter St , Berryville AR 72616-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Flake, William K.. can be contacted via phone (870) 423-3338.

Contact Information

Primary practice address
211 Carter St Berryville AR 72616-4303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R2975 Arkansas

Profile Details

NPI number 1235248220
LBN Legal business name Flake, William K..
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 24th, 2017 - about 9 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 1235248220 NPPES
Missouri MEDICAID 201626108
Missouri Other 51695
Missouri Other 020048067
Missouri MEDICAID 101373001

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