Healthcare Provider Details

I. General information

NPI: 1295919405
Provider Name (Legal Business Name): JOHN ADAMS DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 FORESIGHT CIR UNIT D
GRAND JCT CO
81505-1081
US

IV. Provider business mailing address

2505 FORESIGHT CIR UNIT D
GRAND JCT CO
81505-1081
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-9001
  • Fax: 970-254-0480
Mailing address:
  • Phone: 970-242-9001
  • Fax: 970-254-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4505
License Number StateCO

VIII. Authorized Official

Name: DR. JOHN PHILIP ADAMS
Title or Position: OWNER
Credential: DC
Phone: 970-242-9001