Provider Demographics
NPI:1548515810
Name:BITTNER, CASEY LEE (DC)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:LEE
Last Name:BITTNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:CASEY
Other - Middle Name:LEE
Other - Last Name:SCHARNAGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7787 JOAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3682
Mailing Address - Country:US
Mailing Address - Phone:513-777-4577
Mailing Address - Fax:513-847-4115
Practice Address - Street 1:7787 JOAN DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3682
Practice Address - Country:US
Practice Address - Phone:513-777-4577
Practice Address - Fax:513-847-4115
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor