Provider Demographics
NPI:1841294287
Name:SPILKER, EUGENE C (DC)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:C
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 1:1381 HIGH ST
Mailing Address - Street 2:STE 211
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-6446
Mailing Address - Country:US
Mailing Address - Phone:636-390-9990
Mailing Address - Fax:636-390-9994
Practice Address - Street 1:1381 HIGH ST
Practice Address - Street 2:STE 211
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-6446
Practice Address - Country:US
Practice Address - Phone:636-390-9990
Practice Address - Fax:636-390-9994
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000153532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO443880OtherHEALTHLINK
MS130095OtherBLUE CROSS BLUE SHIELD
MO186469OtherGHP
MOU81393OtherMERCY HEALTH PLANS
MO186469OtherCMR
MO186469OtherGHP