Provider Demographics
NPI:1073097945
Name:CAHILL, DUANE B
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:B
Last Name:CAHILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 CENTRE TPKE STE 2
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9059
Mailing Address - Country:US
Mailing Address - Phone:570-968-2949
Mailing Address - Fax:
Practice Address - Street 1:1209 CENTRE TPKE STE 2
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-9059
Practice Address - Country:US
Practice Address - Phone:570-968-2949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA38063601171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator