Organization
FLYNN FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS EDWIN FLYNN D.C. (OWNER)
(740) 967-9966
Entity
Organization
Contact information
Practice address
24 MEADOW LN, JOHNSTOWN, OH 43031-1126
(740) 967-9966
(740) 967-9966
Mailing address
24 MEADOW LN, JOHNSTOWN, OH 43031-1126
(740) 967-9966
(740) 967-9966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000486902
ANTHEM BLUE CROSS BLUE SH
OH
Enumeration date
10/10/2006
Last updated
12/06/2007
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