Provider Demographics
NPI:1225071376
Name:DELP, ADAM SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:SCOTT
Last Name:DELP
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 1:454 W LEBANON STREET
Mailing Address - Street 2:
Mailing Address - City:MT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030
Mailing Address - Country:US
Mailing Address - Phone:336-786-5555
Mailing Address - Fax:336-786-0086
Practice Address - Street 1:454 W LEBANON STREET
Practice Address - Street 2:
Practice Address - City:MT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030
Practice Address - Country:US
Practice Address - Phone:336-786-5555
Practice Address - Fax:336-786-0086
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085M9Medicaid
2456281AMedicare ID - Type Unspecified
NC89085M9Medicaid