MEDICARE: DR. EUGENE C SPILKER DC

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	2000153532	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	443880	OTHER	MO	HEALTHLINK
2	130095	OTHER	MS	BLUE CROSS BLUE SHIELD
3	186469	OTHER	MO	GHP
4	U81393	OTHER	MO	MERCY HEALTH PLANS
5	186469	OTHER	MO	CMR

General Provider Information

NPI Number	:	1841294287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE C SPILKER DC

Provider Business Mailing Address
First Line	:	1381 HIGH ST
Second Line	:	STE 211
City	:	WASHINGTON
State	:	MO
Zip	:	63090-6446
Country	:	US
Telephone Number	:	636-390-9990
Fax Number	:	636-390-9994

Provider Business Practice Location Address
First Line	:	1381 HIGH ST
Second Line	:	STE 211
City	:	WASHINGTON
State	:	MO
Zip	:	63090-6446
Country	:	US
Telephone Number	:	636-390-9990
Fax Number	:	636-390-9994

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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