Provider Demographics
NPI:1326178955
Name:ADAMS, JOHN W (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
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:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:STURGEON
Mailing Address - State:MO
Mailing Address - Zip Code:65284-0352
Mailing Address - Country:US
Mailing Address - Phone:573-687-2246
Mailing Address - Fax:573-687-2246
Practice Address - Street 1:109 W. WALL ST.
Practice Address - Street 2:
Practice Address - City:STURGEON
Practice Address - State:MO
Practice Address - Zip Code:65284-0352
Practice Address - Country:US
Practice Address - Phone:573-687-2246
Practice Address - Fax:573-687-2246
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCC561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000031280Medicare PIN
MOT83790Medicare UPIN