MEDICARE: ERIC A BILSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3739	NC
2	111N00000X	Chiropractor	08002439A	IN
3	111N00000X	Chiropractor	0104556899	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11794141	OTHER	NC	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0857J	OTHER	NC	CNC

General Provider Information

NPI Number	:	1508050667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC A BILSON D.C.

Provider Business Mailing Address
First Line	:	8719 FOREST HILL AVE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-2431
Country	:	US
Telephone Number	:	804-323-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8719 FOREST HILL AVE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-2431
Country	:	US
Telephone Number	:	804-323-0700
Fax Number	:	804-323-0788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	11/14/2024

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Directions to “ ERIC A BILSON D.C.” Practice Location

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