Provider Demographics
NPI:1053481671
Name:PFLUEGER, ALICIA ANDREIS (DC)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:ANDREIS
Last Name:PFLUEGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 TIBURON BLVD
Mailing Address - Street 2:
Mailing Address - City:TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-2515
Mailing Address - Country:US
Mailing Address - Phone:415-435-7420
Mailing Address - Fax:
Practice Address - Street 1:1640 TIBURON BLVD
Practice Address - Street 2:
Practice Address - City:TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920-2515
Practice Address - Country:US
Practice Address - Phone:415-435-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA21624OtherSTATE BOARD LICENSE #
CA21624OtherSTATE BOARD LICENSE #