Provider Demographics
NPI:1508184979
Name:GALLAHER, ERIN MICHELE (DC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELE
Last Name:GALLAHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELE
Other - Last Name:EICK GALLAHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:919 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2919
Mailing Address - Country:US
Mailing Address - Phone:740-366-6601
Mailing Address - Fax:740-366-6286
Practice Address - Street 1:149 N HIGH ST
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:OH
Practice Address - Zip Code:43025-9669
Practice Address - Country:US
Practice Address - Phone:740-928-7686
Practice Address - Fax:740-928-5585
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor