Healthcare Provider Details

I. General information

NPI: 1518264662
Provider Name (Legal Business Name): ADAM HUFF D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 STATE ROAD 32 E
WESTFIELD IN
46074-8729
US

IV. Provider business mailing address

229 RED COACH DR SUITE 106
MISHAWAKA IN
46545-3195
US

V. Phone/Fax

Practice location:
  • Phone: 317-867-0123
  • Fax: 317-867-3636
Mailing address:
  • Phone: 574-318-7800
  • Fax: 574-318-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002560A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: