Provider Demographics
NPI:1265504815
Name:ADAMS, MARTIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:ADAMS
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 1:2735 N HOLLAND SYLVANIA RD STE B1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1844
Mailing Address - Country:US
Mailing Address - Phone:419-531-7818
Mailing Address - Fax:419-531-5772
Practice Address - Street 1:2735 N HOLLAND SYLVANIA RD STE B1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1844
Practice Address - Country:US
Practice Address - Phone:419-531-7818
Practice Address - Fax:419-531-5772
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAD-0543983Medicare ID - Type Unspecified
OHT47996Medicare UPIN