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NPI Code Detail

MEDICARE: MRS. JANET LOUISE FLICK MA F AAA

MEDICARE:  MRS. JANET LOUISE FLICK  MA F AAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid FitterA00305OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000206673OTHERANTHEM
3000000275569OTHERANTHEM

General Provider Information

NPI Number : 1366505695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET LOUISE FLICK MA F AAA
Provider Business Mailing Address
First Line : 4720 WILMINTON PIKE
Second Line :
City : KETTERING
State : OH
Zip : 45440-2021
Country : US
Telephone Number : 937-435-5033
Fax Number : 937-435-5512
Provider Business Practice Location Address
First Line : 4720 WILMINTON PIKE
Second Line :
City : KETTERING
State : OH
Zip : 45440-2021
Country : US
Telephone Number : 937-435-5033
Fax Number : 937-435-5512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JANET LOUISE FLICK MA F AAA” Practice Location

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