Patrick Michael Flynn, D.C.
Individual provider Active NPI Chiropractor · Green Bay, WI
NPI 1366477341 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1366477341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3623-012 (WI)
- Practice address
- 2525 W Mason St
Green Bay, WI 54303-4838 - Phone
- (920) 429-2844
- Fax
- (920) 429-2845
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040424000087 | WI | Practitioner - Chiropractic | 4880688464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007993 | MI | MD | Chiropractor |
| 3623-012 | WI | MD | Chiropractor |
| 3623 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Way Green Bay LLC | Chiropractor | Current |
Accepting new patients |
| Habeck Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| The Wellness Way Appleton | Past |
Accepting new patients | |
| Wellness Way Pensacola LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Eden Prairie LLC | Chiropractor | Past |
Accepting new patients |
| North Phoenix Wellness Way LLC | Chiropractor | Past |
Accepting new patients |
| The Wellness Way Cottage Grove LLC | Chiropractor | Past |
Accepting new patients |
| Waukesha Wellness Way LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Mount Pleasant LLC | Chiropractor | Past |
Accepting new patients |
| Appleton Wellness Way LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Grand Rapids LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Raleigh LLC | Chiropractor | Past |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Wellness Way Bismarck LLC | Chiropractor | Past |
Accepting new patients |
| Nobles Chiropractic Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
| Wellness Way Rockford LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Lake Mary LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way St Cloud LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Spring LLC | Chiropractor | Past |
Accepting new patients |
| Wellness Way Marietta LLC | Chiropractor | Past |
Accepting new patients |
Locations
2638 Tulip Ln
Ste B
Green Bay, WI 54313
Phone (920) 429-2844
2525 W Mason St
Green Bay, WI 54303
Phone (920) 429-2844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007993 | MI | |
| Chiropractor | 111N00000X | 3623-012 | WI | Yes |
Addresses
Primary practice location
2525 W Mason St
Green Bay, WI 54303-4838
Mailing address
2525 W Mason St
Green Bay, WI 54303-4838
Phone (920) 429-2844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38940200 | Medicaid | WI | |
| 392039747012 | Other | WI | BLUE CROSS BLUE SHIELD # |
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.