Provider Demographics
NPI:1235688540
Name:GEIGER, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:GEIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LYNN CENTER
Mailing Address - State:IL
Mailing Address - Zip Code:61262-9700
Mailing Address - Country:US
Mailing Address - Phone:309-373-0669
Mailing Address - Fax:
Practice Address - Street 1:509 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LYNN CENTER
Practice Address - State:IL
Practice Address - Zip Code:61262-9700
Practice Address - Country:US
Practice Address - Phone:309-373-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer