Provider Demographics
NPI:1114177854
Name:HUITT, CARLA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:JANE
Last Name:HUITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARLA
Other - Middle Name:JANE
Other - Last Name:HUITT-CORCORAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:138 CAREY LN
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8386
Mailing Address - Country:US
Mailing Address - Phone:717-487-5252
Mailing Address - Fax:
Practice Address - Street 1:300 CORPORATE CENTER DR
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-9927
Practice Address - Country:US
Practice Address - Phone:844-626-6813
Practice Address - Fax:844-873-7451
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT189532083P0500X
MDD00466932083P0500X
OH351433022083P0500X
KY559872083P0500X
MI43015050612083P0500X
PAMD045030L2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001252871Medicaid
109049OtherACOEM
PAHU678835OtherBLUE CROSS BLUE SHIELD
12196867OtherCAQH
MT18953OtherMONTANA MEDICAL LICENSE