Flynn, Tia A

Flynn, Tia A is an individual health care provider with primary practice located at 1601 3Rd Street , Coeur D Alene ID 83814. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Flynn, Tia A can be contacted via phone (208) 664-2767.

Contact Information

Primary practice address
1601 3Rd Street Coeur D Alene ID 83814
Fax: (208) 765-0306
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X HA394

Profile Details

NPI number 1922136019
LBN Legal business name Flynn, Tia A
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
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 1922136019 NPPES
Idaho Other AU589 BLUE CROSS OF ID

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