Individual
DR. ERIC JON MCKILLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
32605 TEMECULA PKWY STE 204, TEMECULA, CA 92592-6839
(951) 303-6696
(951) 383-8013
Mailing address
32605 TEMECULA PKWY STE 204, TEMECULA, CA 92592-6839
(951) 303-6696
(951) 383-8013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0233200
BLUE SHIELD
CA
Enumeration date
09/06/2006
Last updated
04/30/2025
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