Provider Demographics
NPI:1477645034
Name:FLYNNS CHIROPRACTOR SERVICES
Entity Type:Organization
Organization Name:FLYNNS CHIROPRACTOR SERVICES
Other - Org Name:MARK H. FLYNN, D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-828-8700
Mailing Address - Street 1:229 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2016
Mailing Address - Country:US
Mailing Address - Phone:412-828-8700
Mailing Address - Fax:412-828-9755
Practice Address - Street 1:229 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2016
Practice Address - Country:US
Practice Address - Phone:412-828-8700
Practice Address - Fax:412-828-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003619L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA495475OtherAETNA/US HEALTHCARE
PA1892011OtherHIGHMARK
PA108026OtherMEDICARE ID