Provider Demographics
NPI:1982239869
Name:FLASPOEHLER, WILLIAM CALEB
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CALEB
Last Name:FLASPOEHLER
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 1:3360 KAMI DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-4636
Mailing Address - Country:US
Mailing Address - Phone:270-313-2574
Mailing Address - Fax:
Practice Address - Street 1:3360 KAMI DR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4636
Practice Address - Country:US
Practice Address - Phone:270-313-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians