Provider Demographics
NPI:1538618376
Name:PHELAN, ANDREW LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LOUIS
Last Name:PHELAN
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 1:3535 W 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1313
Mailing Address - Country:US
Mailing Address - Phone:303-517-6761
Mailing Address - Fax:
Practice Address - Street 1:3535 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1313
Practice Address - Country:US
Practice Address - Phone:303-539-9362
Practice Address - Fax:303-325-3174
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor