Provider Demographics
NPI:1376525626
Name:ADAMS, TOM E (DC)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:E
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 1:1315 FORD AVE
Mailing Address - Street 2:220 THIRD AVE
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-5133
Mailing Address - Country:US
Mailing Address - Phone:406-265-2288
Mailing Address - Fax:406-265-2289
Practice Address - Street 1:220 3RD AVE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3554
Practice Address - Country:US
Practice Address - Phone:406-265-2288
Practice Address - Fax:406-265-2289
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor