Provider Demographics
NPI:1619127214
Name:HILGARTNER, PETER GILSON (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:GILSON
Last Name:HILGARTNER
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 1:102 DRY MILL RD SW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2635
Mailing Address - Country:US
Mailing Address - Phone:703-777-8891
Mailing Address - Fax:703-777-8892
Practice Address - Street 1:102 DRY MILL RD SW
Practice Address - Street 2:SUITE 102
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2635
Practice Address - Country:US
Practice Address - Phone:703-777-8891
Practice Address - Fax:703-777-8892
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001719111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition