RONALD J FLACK LLC
NPI 1184972465
Nurse Practitioner - Family in Jackson, MI

Active since August 17, 2012
762 W MICHIGAN AVE, JACKSON, MI 49201(517) 782-8142(517) 782-0765 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald J Flack Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD J FLACK LLC (NPI 1184972465) is a healthcare organization registered as a family in Jackson, Michigan and active in the NPI registry since August 2012. The organization lists Laura Etue, Biller, as its authorized official.

NPPES Registry Identity

NPI1184972465
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRONALD J FLACK LLC
Location Address762 W MICHIGAN AVEJackson, MI 49201-1978
Mailing Address762 W Michigan AveJackson, MI 49201-1978 · (517) 782-8142 · Fax (517) 782-0765
Fax(517) 782-0765
Organization SubpartNo
Authorized OfficialLaura EtueBiller · (517) 522-8582
Enumeration DateAugust 17, 2012
NPI 1184972465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704149271
762 W MICHIGAN AVE, Jackson, MI 49201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
762 W MICHIGAN AVE
JACKSON, MI 49201
Eyewear Supplier
762 W MICHIGAN AVE
JACKSON, MI 49201
Eyewear Supplier
762 W MICHIGAN AVE, SUITE D
JACKSON, MI 49201
Technician/Technologist (Optician)
762 W MICHIGAN AVE, SUITE D
JACKSON, MI 49201
Optometrist
762 W MICHIGAN AVE
JACKSON, MI 49201
Optometrist
762 W MICHIGAN AVE
JACKSON, MI 49201
Counselor (Mental Health)
762 W MICHIGAN AVE, SUITE E
JACKSON, MI 49201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald J Flack LLC's NPI number?

The NPI number for Ronald J Flack LLC is 1184972465. It was assigned to this organization in the NPPES registry on August 17, 2012.

Where is Ronald J Flack LLC located?

Ronald J Flack LLC is located at 762 W Michigan Ave, Jackson, MI 49201. The listed phone number is (517) 782-8142.

What is Ronald J Flack LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ronald J Flack LLC was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.