Provider Demographics
NPI:1255850897
Name:ADKINS, TOMMIE
Entity Type:Individual
Prefix:MR
First Name:TOMMIE
Middle Name:
Last Name:ADKINS
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 1:130 N PAW PAW ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MI
Mailing Address - Zip Code:49064-9334
Mailing Address - Country:US
Mailing Address - Phone:269-539-4160
Mailing Address - Fax:269-539-4161
Practice Address - Street 1:130 N PAW PAW ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MI
Practice Address - Zip Code:49064-9334
Practice Address - Country:US
Practice Address - Phone:269-539-4160
Practice Address - Fax:269-539-4161
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker