Provider Demographics
NPI:1801230388
Name:O'MALEY, ERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:O'MALEY
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 1:95 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1755
Mailing Address - Country:US
Mailing Address - Phone:508-284-6261
Mailing Address - Fax:
Practice Address - Street 1:50 FERNCROFT RD
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-4017
Practice Address - Country:US
Practice Address - Phone:978-381-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor