Provider Demographics
NPI:1508050667
Name:BILSON, ERIC A (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:A
Last Name:BILSON
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 1:8719 FOREST HILL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2431
Mailing Address - Country:US
Mailing Address - Phone:804-323-0700
Mailing Address - Fax:
Practice Address - Street 1:2705 BUFORD RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-2423
Practice Address - Country:US
Practice Address - Phone:804-323-0700
Practice Address - Fax:804-323-0788
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002439A111N00000X
NC3739111N00000X
VA0104556899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0857JOtherCNC
NC5908047Medicaid
NC11794141OtherCAQH