Provider Demographics
NPI:1487958575
Name:FLYNN-BROWN, ERIN IRENE (DC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:IRENE
Last Name:FLYNN-BROWN
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 1:8000 ROSE
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-9667
Mailing Address - Country:US
Mailing Address - Phone:763-479-3388
Mailing Address - Fax:763-479-3388
Practice Address - Street 1:4960 HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:MAPLE PLAIN
Practice Address - State:MN
Practice Address - Zip Code:55359-8729
Practice Address - Country:US
Practice Address - Phone:763-479-3388
Practice Address - Fax:763-479-3388
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4685-12111N00000X
MN5451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor