Provider Demographics
NPI:1598938581
Name:SPILLMAN, SAMUEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:S
Last Name:SPILLMAN
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 1:608 PRESTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4566
Mailing Address - Country:US
Mailing Address - Phone:434-293-3800
Mailing Address - Fax:434-295-2737
Practice Address - Street 1:608 PRESTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4566
Practice Address - Country:US
Practice Address - Phone:434-293-3800
Practice Address - Fax:434-295-2737
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor