Healthcare Provider Details
I. General information
NPI: 1306830906
Provider Name (Legal Business Name): ADAMS CHIROPRACTIC OFFICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 ANDRIEUX ST
SONOMA CA
95476-6906
US
IV. Provider business mailing address
101 ANDRIEUX ST
SONOMA CA
95476-6906
US
V. Phone/Fax
- Phone: 707-996-4535
- Fax: 707-996-8510
- Phone: 707-996-4535
- Fax: 707-996-8510
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
H
ADAMS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 707-996-4535