Provider Demographics
NPI:1578935474
Name:AFLAC
Entity Type:Organization
Organization Name:AFLAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-869-4849
Mailing Address - Street 1:228 PARK LN
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-9005
Mailing Address - Country:US
Mailing Address - Phone:810-869-4849
Mailing Address - Fax:
Practice Address - Street 1:110 TREALOUT DR
Practice Address - Street 2:SUITE 202
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3211
Practice Address - Country:US
Practice Address - Phone:810-750-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI974720251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage