Provider Demographics
NPI:1982878054
Name:SCHILLING, KAREN D (MS RD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 CAMPUS DRIVE
Mailing Address - Street 2:MAINE MEDICAL CENTER
Mailing Address - City:SCARBOROUH
Mailing Address - State:ME
Mailing Address - Zip Code:04074
Mailing Address - Country:US
Mailing Address - Phone:207-885-8524
Mailing Address - Fax:207-885-8595
Practice Address - Street 1:100 CAMPUS DRIVE
Practice Address - Street 2:MAINE MEDICAL CENTER
Practice Address - City:SCARBOROUH
Practice Address - State:ME
Practice Address - Zip Code:04074
Practice Address - Country:US
Practice Address - Phone:207-885-8524
Practice Address - Fax:207-885-8595
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MED1797133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME001285801Medicare PIN