MEDICARE: ADAM T. DAHMER, III, D.C., P.A.

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	CH5244	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MM13446	OTHER	FL	MASSAGE ESTBLISHMENT LIC.

General Provider Information

NPI Number	:	1639491590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM T. DAHMER, III, D.C., P.A.

Provider Business Mailing Address
First Line	:	7026 PALISADE DR
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-2529
Country	:	US
Telephone Number	:	727-869-7399
Fax Number	:	727-869-7398

Provider Business Practice Location Address
First Line	:	7026 PALISADE DR
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-2529
Country	:	US
Telephone Number	:	727-869-7399
Fax Number	:	727-869-7398

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ADAM T DAHMER III
Credential	:	D.C.
Telephone Number	:	727-869-7399

Provider Enumeration Date	:	02/19/2010
Last Update Date	:	02/19/2010

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