Provider Demographics
NPI:1710124292
Name:DOOLITTLE, CHRISTINE (RD/LDN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:DOOLITTLE
Suffix:
Gender:F
Credentials:RD/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2346
Mailing Address - Country:US
Mailing Address - Phone:724-272-6351
Mailing Address - Fax:866-627-7033
Practice Address - Street 1:1444 W 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508
Practice Address - Country:US
Practice Address - Phone:724-272-6351
Practice Address - Fax:724-272-6351
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000636133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered