Healthcare Provider Details
I. General information
NPI: 1497835938
Provider Name (Legal Business Name): ADAMS CHIROPRACTIC INC. P.S.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3561 NW ANDERSON HILL RD
SILVERDALE WA
98383-9130
US
IV. Provider business mailing address
3561 NW ANDERSON HILL RD
SILVERDALE WA
98383-9130
US
V. Phone/Fax
- Phone: 360-692-4264
- Fax: 360-692-4277
- Phone: 360-692-4264
- Fax: 360-692-4277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH00002087 |
| License Number State | WA |
VIII. Authorized Official
Name:
DENISE
M.
ADAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 360-692-4264