Flintz, Derek

Flintz, Derek is an sole proprietor health care provider with primary practice located at 4896 Main St Ste 201 , Jasper TN 37347-3682. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Flintz, Derek can be contacted via phone (423) 269-2608.

Contact Information

Primary practice address
4896 Main St Ste 201 Jasper TN 37347-3682
Phone: (423) 269-2608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Tennessee

Profile Details

NPI number 1922706589
LBN Legal business name Flintz, Derek
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 2023 - about 2 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 1922706589 NPPES
Tennessee Other 11111111111111 PRIVATE PAY/ VA

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