Provider Demographics
NPI:1518193499
Name:MERRILL-MACY, ERIN L (DC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:MERRILL-MACY
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:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:IN
Mailing Address - Zip Code:46069-0006
Mailing Address - Country:US
Mailing Address - Phone:317-753-5550
Mailing Address - Fax:
Practice Address - Street 1:306 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:IN
Practice Address - Zip Code:46069-1113
Practice Address - Country:US
Practice Address - Phone:317-753-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002452A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor