Provider Demographics
NPI:1710281282
Name:FLANNIGAN, EMILY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:FLANNIGAN
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 1:2120 60TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-9140
Mailing Address - Country:US
Mailing Address - Phone:320-403-5047
Mailing Address - Fax:320-403-5048
Practice Address - Street 1:2120 60TH AVE NE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-9140
Practice Address - Country:US
Practice Address - Phone:320-403-5047
Practice Address - Fax:320-403-5048
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5974111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health