Flynn, William J

Flynn, William J is an sole proprietor health care provider with primary practice located at 2211 Harrison Ave , Panama City FL 32405-4549. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Flynn, William J can be contacted via phone (850) 763-2555.

Contact Information

Primary practice address
2211 Harrison Ave Panama City FL 32405-4549
Phone: (850) 763-2555
Fax: (850) 763-9374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME46709 Florida

Profile Details

NPI number 1275537060
LBN Legal business name Flynn, William J
Credentials M.D.,P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Dec 30th, 2009 - about 17 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 1275537060 NPPES
Florida Other 30000 BLUE CROSS BLUE SHIELD
Florida MEDICAID 043444200 BLUE CROSS BLUE SHIELD

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