Provider Demographics
NPI:1154684611
Name:ADAMS, SUSAN ARENA (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ARENA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:LYNN
Other - Last Name:ARENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3370 ROTHSVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AKRON
Mailing Address - State:PA
Mailing Address - Zip Code:17501-1171
Mailing Address - Country:US
Mailing Address - Phone:717-738-1333
Mailing Address - Fax:717-738-1875
Practice Address - Street 1:3370 ROTHSVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:AKRON
Practice Address - State:PA
Practice Address - Zip Code:17501-1171
Practice Address - Country:US
Practice Address - Phone:717-738-1333
Practice Address - Fax:717-738-1875
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004483L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor