Provider Demographics
NPI:1033464615
Name:ADAM Z. COTE
Entity Type:Organization
Organization Name:ADAM Z. COTE
Other - Org Name:AC ORTHOPEDIC SUPPLY LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:Z
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-584-6320
Mailing Address - Street 1:9350 COTTAGE PARK
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-7202
Mailing Address - Country:US
Mailing Address - Phone:989-584-6320
Mailing Address - Fax:989-584-6426
Practice Address - Street 1:423 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:MI
Practice Address - Zip Code:48811-9741
Practice Address - Country:US
Practice Address - Phone:989-584-6320
Practice Address - Fax:989-584-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016026208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6679050001Medicare UPIN