Ronald J Flack LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704149271 Issued in MI

Legal business name

RONALD J FLACK LLC

Practice address

762 W Michigan Ave
Jackson, MI 49201-1978

Phone

(517) 782-8142

Fax

(517) 782-0765

NPI assigned

Aug 17, 2012

Last updated

Aug 17, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Etue

Title

Biller

Phone

(517) 522-8582

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1184972465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-782-8142",
            "fax_number": "517-782-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-782-8142",
            "fax_number": "517-782-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J FLACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "ETUE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "517-522-8582"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704149271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Rogers
• Cory D Rogotzke, DPT
• Alejandra Rojas, SST, CMHP, QMHP,QIDP
• Mary Ann Rojek, LMSW, ACSW, CAAC
• Ryan Rompola, DAT, LAT, ATC
• Mary Roof, NP
• Grace Rooney
• Erika Root
• Roots Counseling, PLLC.
• Emilie Kaye Rosa

• Family Nurse Practitioner in Jackson, MI
• Providers in Jackson, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.