Provider Demographics
NPI:1851452122
Name:O'BRIEN, SHARON (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:O'BRIEN
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 1:600 UNION AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1843
Mailing Address - Country:US
Mailing Address - Phone:732-528-1100
Mailing Address - Fax:
Practice Address - Street 1:600 UNION AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1843
Practice Address - Country:US
Practice Address - Phone:732-528-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ075983Medicare ID - Type UnspecifiedMEDICARE NUMBER
NJU98196Medicare UPIN