Provider Demographics
NPI:1780709733
Name:FLICK, SHEILA YVONNE (BA)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:YVONNE
Last Name:FLICK
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:YVONNE
Other - Last Name:COSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:PO BOX 9054
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-9054
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3644
Practice Address - Street 1:498 INDUSTRIAL DRIVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-878-1607
Practice Address - Fax:423-878-1606
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other