Provider Demographics
NPI:1649385394
Name:ROCKHILL, KAREN E (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:ROCKHILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:COLLVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:102 W CLARK ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-3047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 W CLARK ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3047
Practice Address - Country:US
Practice Address - Phone:406-224-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29593111N00000X
MT1273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01101900OtherRAILROAD MEDICARE PTAN
MT0000040445OtherBLUE CROSS BLUE SHIELD
MTM011001566Medicare PIN