Provider Demographics
NPI:1063969418
Name:EMBERLEY, RICHARD OWEN (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:OWEN
Last Name:EMBERLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STRING BRG
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1835
Mailing Address - Country:US
Mailing Address - Phone:603-778-2919
Mailing Address - Fax:603-778-9051
Practice Address - Street 1:6 STRING BRG
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1835
Practice Address - Country:US
Practice Address - Phone:603-778-2919
Practice Address - Fax:603-778-9051
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor