Provider Demographics
NPI:1003044561
Name:ADAMS, MICHAEL SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9230 BRUCEVILLE RD
Mailing Address - Street 2:#2
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5996
Mailing Address - Country:US
Mailing Address - Phone:916-226-6710
Mailing Address - Fax:
Practice Address - Street 1:9230 BRUCEVILLE RD
Practice Address - Street 2:#2
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5996
Practice Address - Country:US
Practice Address - Phone:916-226-6710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor