Provider Demographics
NPI:1003964727
Name:DILLON, KRISTI (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:
Last Name:DILLON
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 1:87B OMEGA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2065
Mailing Address - Country:US
Mailing Address - Phone:302-733-0980
Mailing Address - Fax:302-733-7495
Practice Address - Street 1:87B OMEGA DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2065
Practice Address - Country:US
Practice Address - Phone:302-733-0980
Practice Address - Fax:302-733-7495
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000439111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE293740OtherMIAMSI
DE0319694000OtherAMERIHEATLH HMO
DE648555OtherUNITED HEALTH CARE
DE1654166OtherCIGNA PPO
DE872494OtherAMERIHEALTH PPO
DE386606CHIOtherBLUE CROSS & BLUE SHIELD
DE52921OtherCOVENTRY
DE1654166OtherCIGNA PPO
DE648555OtherUNITED HEALTH CARE