Provider Demographics
NPI:1093267452
Name:MAJOR, ADAM (BS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MAJOR
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 BAY RD STE 7N
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2423
Mailing Address - Country:US
Mailing Address - Phone:989-797-3560
Mailing Address - Fax:
Practice Address - Street 1:3875 BAY RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-2423
Practice Address - Country:US
Practice Address - Phone:989-797-3560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator