Provider Demographics
NPI:1427330018
Name:FLATT, ANTHONY WAYNE
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:WAYNE
Last Name:FLATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 225TH ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-8302
Mailing Address - Country:US
Mailing Address - Phone:515-943-1572
Mailing Address - Fax:
Practice Address - Street 1:1823 225TH ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-8302
Practice Address - Country:US
Practice Address - Phone:515-943-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies