Provider Demographics
NPI:1659767705
Name:LAFLIN, ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:LAFLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 PARK AVE.
Mailing Address - Street 2:#104
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105
Mailing Address - Country:US
Mailing Address - Phone:402-430-9653
Mailing Address - Fax:
Practice Address - Street 1:20 POWER DR
Practice Address - Street 2:SUITE 1
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-7701
Practice Address - Country:US
Practice Address - Phone:712-366-1611
Practice Address - Fax:712-366-0021
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03833111N00000X
IA083227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA473637ZBBGMedicare PIN