Healthcare Provider Details

I. General information

NPI: 1992357933
Provider Name (Legal Business Name): FLAT RATE DOCTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E 800 S
OREM UT
84058-5008
US

IV. Provider business mailing address

218 E 800 S
OREM UT
84058-5008
US

V. Phone/Fax

Practice location:
  • Phone: 801-610-7283
  • Fax:
Mailing address:
  • Phone: 801-610-7283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: KIRT FORAKIS
Title or Position: CEO
Credential:
Phone: 801-610-7283