Fleck, Roland

Fleck, Roland is an individual health care provider with primary practice located at 555 E Broadway Suite 212, Jackson WY 83001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fleck, Roland can be contacted via phone (307) 733-7677.

Contact Information

Primary practice address
555 E Broadway Suite 212 Jackson WY 83001
Phone: (307) 733-7677
Fax: (307) 733-7679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2822A Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X M4186 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 7844 Montana

Profile Details

NPI number 1528162120
LBN Legal business name Fleck, Roland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 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 1528162120 NPPES
Wyoming Other 301378 BCBS
Wyoming Other 37747 BCBS

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