Provider Demographics
NPI:1386902526
Name:SCARO, HOLLY EILEEN (DC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:EILEEN
Last Name:SCARO
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 1:2020 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4016
Mailing Address - Country:US
Mailing Address - Phone:302-747-0156
Mailing Address - Fax:
Practice Address - Street 1:110 ANGLERS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1105
Practice Address - Country:US
Practice Address - Phone:302-747-0156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF10000830111N00000X
WI487912111N00000X
IL038012164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor