Provider Demographics
NPI:1083653356
Name:SPILKER, TODD W (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:W
Last Name:SPILKER
Suffix:
Gender:M
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 197
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547-0197
Mailing Address - Country:US
Mailing Address - Phone:785-456-2046
Mailing Address - Fax:785-456-2048
Practice Address - Street 1:1511 WEST HWY 24
Practice Address - Street 2:
Practice Address - City:WAMEGO
Practice Address - State:KS
Practice Address - Zip Code:66547-0197
Practice Address - Country:US
Practice Address - Phone:785-456-2046
Practice Address - Fax:785-456-2048
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062089Medicare ID - Type Unspecified
KSU55091Medicare UPIN