Healthcare Provider Details

I. General information

NPI: 1124082961
Provider Name (Legal Business Name): CAROLINE ELIZABETH HILLMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N MAIN ST
HAMBURG AR
71646-3223
US

IV. Provider business mailing address

PO BOX 68
HAMBURG AR
71646-0068
US

V. Phone/Fax

Practice location:
  • Phone: 870-265-4400
  • Fax: 870-265-4401
Mailing address:
  • Phone: 870-265-4400
  • Fax: 870-265-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1656
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: