Provider Demographics
NPI:1225120868
Name:WORK, MAUREENRITA O'TOOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREENRITA
Middle Name:O'TOOLE
Last Name:WORK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MAUREEN
Other - Middle Name:RITA
Other - Last Name:O'TOOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5919 JAMES ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9688
Mailing Address - Country:US
Mailing Address - Phone:336-766-3993
Mailing Address - Fax:336-766-3991
Practice Address - Street 1:5919 JAMES ST
Practice Address - Street 2:SUITE C
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9688
Practice Address - Country:US
Practice Address - Phone:336-766-3993
Practice Address - Fax:336-766-3991
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2459040Medicare PIN
NCU77688Medicare UPIN