MEDICARE: ADAM T STEWART R.AC.

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	171100000X	Acupuncturist	000184	OH

General Provider Information

NPI Number	:	1265740393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM T STEWART R.AC.

Provider Business Mailing Address
First Line	:	475 AMANDA NORTHERN RD SW
Second Line	:
City	:	AMANDA
State	:	OH
Zip	:	43102-9747
Country	:	US
Telephone Number	:	614-348-3127
Fax Number	:	740-969-2423

Provider Business Practice Location Address
First Line	:	4765 CARROLL CEMETERY RD
Second Line	:
City	:	CARROLL
State	:	OH
Zip	:	43112-9428
Country	:	US
Telephone Number	:	614-348-3127
Fax Number	:	740-969-2423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2010
Last Update Date	:	04/12/2023

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Directions to “ ADAM T STEWART R.AC.” Practice Location

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