Provider Demographics
NPI:1124082961
Name:HILLMAN, CAROLINE ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646-0068
Mailing Address - Country:US
Mailing Address - Phone:870-265-4400
Mailing Address - Fax:870-265-4401
Practice Address - Street 1:109 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646-3223
Practice Address - Country:US
Practice Address - Phone:870-265-4400
Practice Address - Fax:870-265-4401
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y602OtherBLUE CROSS BLUE SHIELD
AR159244718Medicaid
AR5Y602Medicare ID - Type Unspecified