Provider Demographics
NPI:1528037751
Name:DILLER, CAROLINE M (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:M
Last Name:DILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:M
Other - Last Name:DILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:850 WALNUT BOTTOM RD
Mailing Address - Street 2:STE 301
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3632
Mailing Address - Country:US
Mailing Address - Phone:717-241-2600
Mailing Address - Fax:717-243-4986
Practice Address - Street 1:850 WALNUT BOTTOM RD
Practice Address - Street 2:STE 301
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3632
Practice Address - Country:US
Practice Address - Phone:717-241-2600
Practice Address - Fax:717-243-4986
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020972610001Medicaid
PA1578732384OtherGROUP NPI
PADC009519OtherLICENSE
PA098603X3EOtherMEDICARE GROUP ID
PA1578732384OtherGROUP NPI