Provider Demographics
NPI:1962758250
Name:CREMATA, EILEEN MARIE (DC)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MARIE
Last Name:CREMATA
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 1:50 CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1747
Mailing Address - Country:US
Mailing Address - Phone:925-952-4383
Mailing Address - Fax:925-237-8246
Practice Address - Street 1:50 CAMELOT CT
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1747
Practice Address - Country:US
Practice Address - Phone:925-952-4383
Practice Address - Fax:925-237-8246
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15421111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health