RONALD J FLACK LLC NPI 1184972465

NPI Information

  • NPI: 1184972465
  • Provider Name: RONALD J FLACK LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 762 W MICHIGAN AVE
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 782-8142

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NPI Details

RONALD J FLACK LLC is a family nurse practitioner in Jackson, MI. RONALD J FLACK LLC NPI is 1184972465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

762 W MICHIGAN AVE
JACKSON, MI
ZIP 49201-978
Phone: (517) 782-8142
Fax: (517) 782-0765

The provider's authorized official is Laura Etue .
The authorized official title is Biller and has the following contact phone number (517) 522-8582.

The enumeration date for this NPI number is 8/17/2012 and was last updated on 8/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704149271MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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