Provider Demographics
NPI:1649368895
Name:MCCAULEY, NICOLE DELIGHT (DC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:DELIGHT
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:DELIGHT
Other - Last Name:HUBBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:646 SE HIGHWAY 101
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-9668
Mailing Address - Country:US
Mailing Address - Phone:541-614-4506
Mailing Address - Fax:541-614-4507
Practice Address - Street 1:646 SE HIGHWAY 101
Practice Address - Street 2:SUITE 4
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-9668
Practice Address - Country:US
Practice Address - Phone:541-614-4506
Practice Address - Fax:541-614-4507
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5097111N00000X
MO2005007736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor