Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | F1-0000439 | DE |
NPI | 1003964727 |
---|---|
Provider Name | Dr. Kristi Dillon |
First Address | Newark, DE 19713-2065 |
Second Address | Newark, DE 19713-2065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0319694000 | AMERIHEATLH HMO (01) | DE |
1654166 | CIGNA PPO (01) | DE |
293740 | MIAMSI (01) | DE |
386606CHI | BLUE CROSS & BLUE SHIELD (01) | DE |
52921 | COVENTRY (01) | DE |
648555 | UNITED HEALTH CARE (01) | DE |
872494 | AMERIHEALTH PPO (01) | DE |
U73819 | (02) | DE |