John Fletcher Flagg, ATC
Individual provider Active NPI Athletic Trainer · Seaford, DE
NPI 1982809265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982809265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1 Chelsea CT
Seaford, DE 19973-8030 - Phone
- (410) 251-4624
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1 Chelsea CT
Seaford, DE 19973-8030
Mailing address
1 Chelsea CT
Seaford, DE 19973-8030
Phone (410) 251-4624
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.